Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUJATA DE, L.C.S.W.
Active Sole ProprietorSUJATA DE, L.C.S.W. is a Clinical Social Worker healthcare provider located in PARK CITY, Illinois. NPI 1952633943 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · PARK CITY, IL
Registration Details
- NPI Number
- 1952633943
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 2, 2010 (16.507528898925 yrs)
- Last Updated
- Feb 10, 2023
- License
-
149.011361 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
464 GREENVIEW DRPARK CITY, IL, 600854742Browse IL providers · Browse ZIP 60085
- Phone
- 2242196888
- Primary Specialty
-
Clinical Social Worker
1041C0700X
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.