Ms. Andrea Nicole Good
Counselor Clinical Social Worker
2865 N Clybourn Ave
Chicago
, Illinois 60618-8269
Ms. Andrea Nicole Good
Counselor Clinical Social Worker
2865 N Clybourn Ave
Chicago
, Illinois 60618-8269
(773) 270-0469
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About
Features
Specialties
- Counselor
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Ms. Andrea Nicole Good
- 2865 N Clybourn Ave
- Chicago, IL
- Zip : 60618-8269
- Phone : (773) 270-0469
Second Address
- Ms. Andrea Nicole Good
- 2865 N Clybourn Ave
- Chicago, IL
- Zip : 60618-8269
- Phone : (773) 270-0469
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101Y00000X | Counselor | ||
| Y | 1041C0700X | Clinical Social Worker | 149.017874 | IL |
National Provider Identifier
| NPI | 1003169830 |
|---|---|
| Provider Name | Ms. Andrea Nicole Good |
| First Address | Chicago, IL 60618-8269 |
| Second Address | Chicago, IL 60618-8269 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/10/2012 |
| Last Update Date | 16/06/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.