Provider Demographics
NPI:1457946204
Name:ARROYO, GUADALUPE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:GUADALUPE
Middle Name:
Last Name:ARROYO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:LUPITA
Other - Middle Name:
Other - Last Name:ARROYO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:5419 N. SHERIDAN ROAD
Mailing Address - Street 2:SUITE 103-A
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5419 N. SHERIDAN ROAD
Practice Address - Street 2:SUITE 103-A
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640
Practice Address - Country:US
Practice Address - Phone:773-490-7401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-03
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490150451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical