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

Individual provider Clinical Social Worker · NPI 1063761070

Mary Katherine Bohannon, 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

1842 N Spaulding Ave Apt 3
Chicago, IL 60647-0174
Phone: (773) 826-9927
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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 149.017345 (IL)

Record details

NPI number1063761070
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 5, 2012
Last updated in NPPESSeptember 15, 2023
Certification dateSeptember 15, 2023

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