Provider Demographics
NPI:1568126993
Name:NERONE, PATRICE (LPC)
Entity Type:Individual
Prefix:MS
First Name:PATRICE
Middle Name:
Last Name:NERONE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 W SAINT JAMES PL APT 603
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-2709
Mailing Address - Country:US
Mailing Address - Phone:216-507-8696
Mailing Address - Fax:
Practice Address - Street 1:5536 S EVERETT AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-1902
Practice Address - Country:US
Practice Address - Phone:312-884-9879
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-21
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL494496163W00000X
OH267487163W00000X
IL178.017624101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No163W00000XNursing Service ProvidersRegistered Nurse