Kirsten Enoch | Chicago, IL • PECOS Search

Kirsten Enoch

Social Worker

Behavioral Health & Social Service Providers

4327 W Irving Park Rd Ste 2a, Chicago, IL 60641-2826

PECOS Enrollment

Based on the most recent information from CMS, provider Kirsten Enoch 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
1598246779
Provider Type
Individual
Full Name
Enoch, Kirsten
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
8/24/2018
Last Updated
10/31/2024

Contact Information

Practice Location

4327 W Irving Park Rd Ste 2a, Chicago, IL 60641-2826

Unlisted Fax

Mailing Location

4327 W Irving Park Rd Ste 2a, Chicago, IL 60641-2826

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 149.023087 Illinois