Scudieri, Terrence Wayne
Scudieri, Terrence Wayne is an individual health care provider with primary practice located at 1 N Beacon Pl Apt 708, La Grange IL 60525-2037. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Scudieri, Terrence Wayne can be contacted via phone (630) 400-1185.Contact Information
Primary practice address
1 N Beacon Pl Apt 708
La Grange IL 60525-2037
Phone: (630) 400-1185
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 72-089155 | New York |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149-017296 | Illinois |
Profile Details
NPI number | 1841682150 |
---|---|
LBN Legal business name | Scudieri, Terrence Wayne |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 23rd, 2015 |
Last updated | Feb 23rd, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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