Nicholas J Piechotte | Chicago, IL • PECOS Search

Nicholas J Piechotte

Social Worker

Behavioral Health & Social Service Providers

1111 N Wells St Ste 400, Chicago, IL 60610-7632

(312) 573-8860 (810) 937-9237

PECOS Enrollment

Based on the most recent information from CMS, provider Nicholas J Piechotte 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
1477914414
Provider Type
Individual
Full Name
Piechotte, Nicholas J
Credential
LCSW, MSW, CADC

Gender
Male
Sole Proprietor
Yes
Enumeration Date
3/18/2016
Last Updated
3/18/2016

Contact Information

Practice Location

1111 N Wells St Ste 400, Chicago, IL 60610-7632

Unlisted Fax

Mailing Location

3304 N Hamilton Ave Apt 1, Chicago, IL 60618-6378

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 149.0182121 Illinois