Christina Smith | Chicago, IL • PECOS Search

Christina Smith

Social Worker

Behavioral Health & Social Service Providers

1276 N Clybourn Ave, Chicago, IL 60610-2089

PECOS Enrollment

Based on the most recent information from CMS, provider Christina Smith 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
1124529896
Provider Type
Individual
Full Name
Smith, Christina
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
2/27/2018
Last Updated
6/16/2018

Contact Information

Practice Location

1276 N Clybourn Ave, Chicago, IL 60610-2089

Unlisted Fax

Mailing Location

1276 N Clybourn Ave, Chicago, IL 60610-2089

Unlisted Fax

Provider Taxonomies

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