IndividualActive
Aide Fonseca, LCSW
NPI 1073103602 · Clinical Social Worker · Hillside, IL
Provider details
- NPI number
- 1073103602
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 149021200 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4531 Idlewild Ln
Hillside, IL 60162-1755
Phone: (708) 846-4812
Approximate (ZIP-level) locationGet directions
Mailing address
4531 Idlewild Ln
Hillside, IL 60162-1755
Registry dates
- Enumerated
- 2021-01-18
- Last updated
- 2021-01-18
- Certified
- 2021-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.