David John Clancy | Chicago, IL • PECOS Search

David John Clancy

Social Worker

Behavioral Health & Social Service Providers

1000 N La Salle Dr Apt 610, Chicago, IL 60610-2679

PECOS Enrollment

Based on the most recent information from CMS, provider David John Clancy 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
1982424271
Provider Type
Individual
Full Name
Clancy, David John
Credential
LLMSW, MPH

Gender
Male
Sole Proprietor
No
Enumeration Date
10/12/2024
Last Updated
10/12/2024

Contact Information

Practice Location

1000 N La Salle Dr Apt 610, Chicago, IL 60610-2679

Unlisted Fax

Mailing Location

1000 N La Salle Dr Apt 610, Chicago, IL 60610-2679

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6851119126 Michigan