SearchIllinoisClinical Social Worker

Michael Mudgett, LCSW

NPI 1134536865 · on the registry since 2014

Practice

Address
5524 W Harrison St
Chicago, IL 60644
Phone
(773) 854-5073
Fax
(773) 379-0971
Clinicians at this address
3

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-01-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois