Provider Demographics
NPI:1669341681
Name:CREDEN PSYCHOTHERAPY AND CONSULTING, PLLC
Entity type:Organization
Organization Name:CREDEN PSYCHOTHERAPY AND CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CREDEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:224-425-7911
Mailing Address - Street 1:25 E WASHINGTON ST STE 1908
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-1877
Mailing Address - Country:US
Mailing Address - Phone:224-425-7911
Mailing Address - Fax:
Practice Address - Street 1:25 E WASHINGTON ST STE 1908
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-1877
Practice Address - Country:US
Practice Address - Phone:224-425-7911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-30
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty