Provider Demographics
NPI:1184721706
Name:SALMI, ALAN PATRICK (LCSW)
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:PATRICK
Last Name:SALMI
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6424 N GLENWOOD AVE
Mailing Address - Street 2:#2G
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-6301
Mailing Address - Country:US
Mailing Address - Phone:773-338-3552
Mailing Address - Fax:312-266-9491
Practice Address - Street 1:8 W CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-3313
Practice Address - Country:US
Practice Address - Phone:312-266-9090
Practice Address - Fax:312-266-9491
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical