Provider Demographics
NPI:1912639923
Name:MAGGIO, ARIANNA PAIGE (LCSW, CADC)
Entity Type:Individual
Prefix:
First Name:ARIANNA
Middle Name:PAIGE
Last Name:MAGGIO
Suffix:
Gender:F
Credentials:LCSW, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2646 N SAWYER AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-1612
Mailing Address - Country:US
Mailing Address - Phone:773-682-5174
Mailing Address - Fax:
Practice Address - Street 1:40 SKOKIE BLVD STE 460
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-1698
Practice Address - Country:US
Practice Address - Phone:312-612-9398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0242081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical