Provider Demographics
NPI:1013036110
Name:WINSTON, JOAN LOUISE (LCSW, CRADC)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:LOUISE
Last Name:WINSTON
Suffix:
Gender:F
Credentials:LCSW, CRADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:601 SOUTH BLVD
Mailing Address - Street 2:#C
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-4612
Mailing Address - Country:US
Mailing Address - Phone:708-386-3280
Mailing Address - Fax:708-386-2278
Practice Address - Street 1:1140 LAKE ST
Practice Address - Street 2:SUITE 504
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301-1049
Practice Address - Country:US
Practice Address - Phone:708-802-1532
Practice Address - Fax:708-386-2278
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical