Individual ProviderKaley Anne WitowskiSocial WorkerBehavioral Health & Social Service ProvidersPractice Address644 W Webster Ave Unit B, Chicago, IL 60614-3710(773) 991-3016PECOS EnrollmentBased on the most recent information from CMS, provider Kaley Anne Witowski 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 yesterday at 12:57 PM.Profile DetailsProvider ID1154993038Provider TypeIndividualFull NameWitowski, Kaley AnneCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date7/12/2021Last Updated7/12/2021Contact InformationPractice LocationPractice Address644 W Webster Ave Unit B, Chicago, IL 60614-3710Phone(773) 991-3016FaxUnlisted FaxMailing LocationMailing Address644 W Webster Ave Unit B, Chicago, IL 60614-3710Phone(773) 991-3016FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149023426Illinois