Most Relevant Information
Provider Data
| NPI Number: | 1003332792 |
| Provider Name: | GIANNA ROSENTHAL SHEPARD LCSW, M.ED. |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 149.013112 |
Most Important Dates
| Enumeration Date: | 08/15/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
1413 W HOOD AVE
CHICAGO
IL
606601805
Practice Location Phone/Fax
| Phone: | 3125609809 |
| Fax: |
Provider Mailing Location
1413 W HOOD AVE
CHICAGO
IL
606601805
Provider Mailing Phone/Fax
| Phone: | 3125609809 |
| Fax: |