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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AGNESE MACTAVISH, LSW

Active Sole Proprietor

AGNESE MACTAVISH, LSW is a Social Worker healthcare provider located in PALATINE, Illinois. NPI 1922735315 is currently active in the NPPES registry. Verify at CMS.

Social Worker · PALATINE, IL

Registration Details

NPI Number
1922735315
Provider Type
Individual
Gender
Female
NPI Issued
Aug 4, 2022 (4.0237361270745 yrs)
Last Updated
Aug 4, 2022
License
150.108577 (IL)
Sole Proprietor
Yes

Practice Information

Address
1066 W CHATHAM DR
PALATINE, IL, 600675864
Browse IL providers · Browse ZIP 60067
Phone
4044889158
Primary Specialty
Social Worker
104100000X

Other Social Worker Providers in PALATINE, IL

Name Credential NPI
CLAIRE FOSS L.C.S.W. 1871897264
JACLYN SPRAWKA LSW 1518209881
DARA NICOLE 1932542214
MRS. SARAH MEDRYS MSW,LSW 1942600101
MRS. SHALAYNE LINDA MCMILLIAN LSW, CADC 1528439981
KIRK E LEWIS 1780032896
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.