Provider Demographics
NPI:1104580307
Name:BAIE, VANESSA M (LCSW)
Entity type:Individual
Prefix:MS
First Name:VANESSA
Middle Name:M
Last Name:BAIE
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 1:122 S MICHIGAN AVE STE 1450
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60603-6176
Mailing Address - Country:US
Mailing Address - Phone:312-786-4990
Mailing Address - Fax:
Practice Address - Street 1:122 S MICHIGAN AVE STE 1450
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603-6176
Practice Address - Country:US
Practice Address - Phone:312-786-4990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-25
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty