Provider Demographics
NPI:1659854107
Name:BELL, ARIELLE (MSW)
Entity Type:Individual
Prefix:
First Name:ARIELLE
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:ARIELLE
Other - Middle Name:WILDER
Other - Last Name:EAGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:3140 N SHEFFIELD AVE APT 409
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-6545
Mailing Address - Country:US
Mailing Address - Phone:401-225-3961
Mailing Address - Fax:
Practice Address - Street 1:3140 N SHEFFIELD AVE APT 409
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-6545
Practice Address - Country:US
Practice Address - Phone:401-225-3961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-11
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1217911041C0700X
IL149.0224131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical