Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrea Blaylock, LCSW

Individual provider Clinical Social Worker · NPI 1801149513

Andrea Blaylock, LCSW is a Clinical Social Worker in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2012
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4611 N Beacon St #1S
Chicago, IL 60640-4669
Phone: (312) 882-4817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149-008354 (IL)

Record details

NPI number1801149513
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 18, 2012
Last updated in NPPESOctober 18, 2012

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