Provider Demographics
NPI:1942901640
Name:CABRAL, MEREDITH (LCSW, CADC, CRSS)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:CABRAL
Suffix:
Gender:F
Credentials:LCSW, CADC, CRSS
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:
Other - Last Name:WEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3315 N ALBANY AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-5765
Mailing Address - Country:US
Mailing Address - Phone:312-972-3812
Mailing Address - Fax:
Practice Address - Street 1:2847 N CLARK ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-5207
Practice Address - Country:US
Practice Address - Phone:773-432-6510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0253281041C0700X
IL37517101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)