Provider Demographics
NPI:1063657351
Name:BARRETTE, LYNN LEANN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:LEANN
Last Name:BARRETTE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:LYNN
Other - Middle Name:LEANN
Other - Last Name:MICHAEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:2730 N BRIGHTON PL
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-2144
Mailing Address - Country:US
Mailing Address - Phone:248-515-2235
Mailing Address - Fax:224-764-2281
Practice Address - Street 1:662 E NORTHWEST HWY
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-3307
Practice Address - Country:US
Practice Address - Phone:224-828-9877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-16
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010901951041C0700X
1041C0700X
IL149.0150281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical