Provider Demographics
NPI:1679189005
Name:ARROYO, MADELINE E (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MADELINE
Middle Name:E
Last Name:ARROYO
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 1:1925 N CLYBOURN AVE STE 401
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-7397
Mailing Address - Country:US
Mailing Address - Phone:312-857-4392
Mailing Address - Fax:
Practice Address - Street 1:1925 N CLYBOURN AVE STE 401
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-7397
Practice Address - Country:US
Practice Address - Phone:312-857-4392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-21
Last Update Date:2023-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490224921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical