Provider Demographics
NPI:1679198519
Name:CLOHISY, LUKE CHRISTOPHER (MSW)
Entity Type:Individual
Prefix:
First Name:LUKE
Middle Name:CHRISTOPHER
Last Name:CLOHISY
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4619 N RAVENSWOOD AVE STE 303C
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-4579
Mailing Address - Country:US
Mailing Address - Phone:312-860-9840
Mailing Address - Fax:
Practice Address - Street 1:4619 N RAVENSWOOD AVE STE 303C
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-4579
Practice Address - Country:US
Practice Address - Phone:312-860-9840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker