Provider Demographics
NPI:1629762661
Name:ADDUCCI, MARIA CARMELA (LCSW)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:CARMELA
Last Name:ADDUCCI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2516 N CENTRAL PARK AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-1108
Mailing Address - Country:US
Mailing Address - Phone:708-927-7685
Mailing Address - Fax:
Practice Address - Street 1:6645 NORTH AVE
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-1057
Practice Address - Country:US
Practice Address - Phone:708-386-5080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0242491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical