Provider Demographics
NPI:1609663939
Name:ZADINA, CAROLINE GRACE (LCSW)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:GRACE
Last Name:ZADINA
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 N ELIZABETH ST APT 902
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-1674
Mailing Address - Country:US
Mailing Address - Phone:847-284-0735
Mailing Address - Fax:
Practice Address - Street 1:160 N ELIZABETH ST APT 902
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-1674
Practice Address - Country:US
Practice Address - Phone:847-284-0735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0274471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical