Nicole Givens | Chicago, IL • PECOS Search

Nicole Givens

Social Worker

Behavioral Health & Social Service Providers

2623 N Clark St, Chicago, IL 60614-1524

(312) 847-2912 (847) 828-1996

PECOS Enrollment

Based on the most recent information from CMS, provider Nicole Givens 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1063280576
Provider Type
Individual
Full Name
Givens, Nicole
Gender
Female

Sole Proprietor
No
Enumeration Date
12/13/2023
Last Updated
12/13/2023

Contact Information

Practice Location

2623 N Clark St, Chicago, IL 60614-1524

Unlisted Fax

Mailing Location

1251 Hemlock Dr, Elk Grove Village, IL 60007-4649

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 149026169 Illinois