Provider Demographics
NPI:1700508561
Name:PIECZARA, KASIA (LSW)
Entity Type:Individual
Prefix:MISS
First Name:KASIA
Middle Name:
Last Name:PIECZARA
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 E WACKER DR UNIT 3703
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-5273
Mailing Address - Country:US
Mailing Address - Phone:224-201-8400
Mailing Address - Fax:
Practice Address - Street 1:4849 N MILWAUKEE AVE STE 503
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60630-2191
Practice Address - Country:US
Practice Address - Phone:773-492-0913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-16
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150108799104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker