Provider Demographics
NPI:1023202462
Name:VILLALON, NORMA A (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:A
Last Name:VILLALON
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3350 SALT CREEK LANE
Mailing Address - Street 2:SUITE 114
Mailing Address - City:ARLINGTON HTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-1089
Mailing Address - Country:US
Mailing Address - Phone:847-952-7460
Mailing Address - Fax:
Practice Address - Street 1:3350 SALT CREEK LANE
Practice Address - Street 2:SUITE 114
Practice Address - City:ARLINGTON HTS
Practice Address - State:IL
Practice Address - Zip Code:60005-1089
Practice Address - Country:US
Practice Address - Phone:847-952-7460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0090841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical