Sujata De, L.C.S.W.

Clinical Social Worker · Park City, IL

Individual Active NPI

NPI number 1952633943

Practice location

464 Greenview Dr
Park City, IL 60085-4742
Phone
(224) 219-6888

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NPI record

NPI
1952633943
Entity type
Individual (Type 1)
Enumeration date
February 2, 2010
Last updated
February 10, 2023
Certified
February 10, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149.011361 IL

About Sujata De

Sujata De, L.C.S.W. is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 464 Greenview Dr, Park City, IL 60085-4742. The NPI number 1952633943 was assigned on February 2, 2010 and the record was last updated on February 10, 2023.

Sujata De lists a license in the registry: #149.011361 (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 Sujata De, L.C.S.W.?

The NPI number is 1952633943.

What is the phone number of Sujata De?

The phone number listed for the practice location is (224) 219-6888.

Where is Sujata De located?

464 Greenview Dr, Park City, IL 60085-4742.

What is the taxonomy code for Sujata De?

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.