Provider Demographics
NPI:1679659072
Name:BRICKMAN, CLIFFORD (DN, DCSW, LCSW)
Entity Type:Individual
Prefix:DR
First Name:CLIFFORD
Middle Name:
Last Name:BRICKMAN
Suffix:
Gender:M
Credentials:DN, DCSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 N LAKE SHORE DR
Mailing Address - Street 2:#2215
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-6232
Mailing Address - Country:US
Mailing Address - Phone:773-935-3500
Mailing Address - Fax:773-472-1022
Practice Address - Street 1:30 N MICHIGAN AVE
Practice Address - Street 2:SUITE 1729
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3402
Practice Address - Country:US
Practice Address - Phone:773-935-3500
Practice Address - Fax:773-472-1022
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL172P00000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered172P00000XOther Service ProvidersNaprapath
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01617791OtherBSBS-IL: CLINIC-LCSW
IL01628275OtherBCBS-IL: CLINIC-NAPRAPATH