Hodges, Damaso Allen
Hodges, Damaso Allen is an sole proprietor health care provider with primary practice located at 1639 W Foster Ave Apt 2 , Chicago IL 60640-2086. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Agencies / Early Intervention Provider Agency, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Hodges, Damaso Allen can be contacted via phone (330) 280-3032.Contact Information
Primary practice address
1639 W Foster Ave Apt 2
Chicago IL 60640-2086
Phone: (330) 280-3032
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149021755 | Illinois |
Agencies / Early Intervention Provider Agency | 252Y00000X | ||
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 150101823 | Illinois |
Profile Details
NPI number | 1639443138 |
---|---|
LBN Legal business name | Hodges, Damaso Allen |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 1st, 2012 |
Last updated | Nov 20th, 2019 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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