Lorine E Carlson | Chicago, IL • PECOS Search

Lorine E Carlson

Social Worker

Behavioral Health & Social Service Providers

303 W Institute Pl Ste 300, Chicago, IL 60610-3080

PECOS Enrollment

Based on the most recent information from CMS, provider Lorine E Carlson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1023650413
Provider Type
Individual
Full Name
Carlson, Lorine E
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
10/17/2019
Last Updated
1/8/2024

Contact Information

Practice Location

303 W Institute Pl Ste 300, Chicago, IL 60610-3080

Unlisted Fax

Mailing Location

3447 N Marshfield Ave Apt 2, Chicago, IL 60657-7871

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 149.026160 Illinois