Individual ProviderOlivia AndresSocial WorkerBehavioral Health & Social Service ProvidersPractice Address939 N Orleans St Apt 2b, Chicago, IL 60610-3001(419) 699-5948PECOS EnrollmentBased on the most recent information from CMS, provider Olivia Andres does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1033895420Provider TypeIndividualFull NameAndres, OliviaCredentialLCSW, PMH-CGenderFemaleSole ProprietorNoEnumeration Date6/22/2023Last Updated6/22/2023Contact InformationPractice LocationPractice Address939 N Orleans St Apt 2b, Chicago, IL 60610-3001Phone(419) 699-5948FaxUnlisted FaxMailing LocationMailing Address939 N Orleans St Apt 2b, Chicago, IL 60610-3001Phone(419) 699-5948FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149020699IllinoisCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer