Kimberly J Shapps | Chicago, IL • PECOS Search

Kimberly J Shapps

Social Worker

Behavioral Health & Social Service Providers

2528 N Lincoln Ave, Suite 116, Chicago, IL 60614-2333

PECOS Enrollment

Based on the most recent information from CMS, provider Kimberly J Shapps 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
1417223645
Provider Type
Individual
Full Name
Shapps, Kimberly J
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/2/2012
Last Updated
5/14/2012

Contact Information

Practice Location

2528 N Lincoln Ave, Suite 116, Chicago, IL 60614-2333

(312) 243-7822

Mailing Location

312 N May St Apt 2k, Chicago, IL 60607-1236

(312) 243-7822

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 149013301 Illinois