Individual ProviderLeah E Nuetzel HappSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1000 W Diversey, Suite 275, Chicago, IL 60614-1879(773) 281-7200PECOS EnrollmentBased on the most recent information from CMS, provider Leah E Nuetzel Happ 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 ID1346786555Provider TypeIndividualFull NameNuetzel Happ, Leah ECredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date1/11/2017Last Updated11/30/2021Contact InformationPractice LocationPractice Address1000 W Diversey, Suite 275, Chicago, IL 60614-1879Phone(773) 281-7200FaxUnlisted FaxMailing LocationMailing Address1000 W Diversey, Suite 275, Chicago, IL 60614-1879Phone(773) 281-7200FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149.020454IllinoisCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense150.102074Illinois