Provider Demographics
NPI:1881347508
Name:SHAMMAS, SEMAH ZAIN (LCSW)
Entity type:Individual
Prefix:
First Name:SEMAH
Middle Name:ZAIN
Last Name:SHAMMAS
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 1:5038 N WOLCOTT AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-2655
Mailing Address - Country:US
Mailing Address - Phone:630-864-7136
Mailing Address - Fax:
Practice Address - Street 1:5038 N WOLCOTT AVE APT 3
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-2655
Practice Address - Country:US
Practice Address - Phone:630-864-7136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0191991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical