Antonio D. Champion, PH.D., LCSW

Clinical Social Worker · Maywood, IL

Individual Active NPI

NPI number 1619706520

Practice location

2109 S 8TH Ave
Maywood, IL 60153-3230
Phone
(708) 356-6386

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NPI record

NPI
1619706520
Entity type
Individual (Type 1)
Enumeration date
July 29, 2024
Last updated
July 29, 2024
Certified
July 29, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149.027393 IL

About Dr. Champion

Antonio D. Champion, PH.D., LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 2109 S 8TH Ave, Maywood, IL 60153-3230. The NPI number 1619706520 was assigned on July 29, 2024 and the record was last updated on July 29, 2024.

Dr. Champion lists a license in the registry: #149.027393 (IL) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Antonio D. Champion, PH.D., LCSW?

The NPI number is 1619706520.

What is the phone number of Dr. Champion?

The phone number listed for the practice location is (708) 356-6386.

Where is Dr. Champion located?

2109 S 8TH Ave, Maywood, IL 60153-3230.

What is the taxonomy code for Dr. Champion?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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