Provider Demographics
NPI:1073844593
Name:ESCALANTE, EVE AUGUSTA (LCSW)
Entity Type:Individual
Prefix:
First Name:EVE
Middle Name:AUGUSTA
Last Name:ESCALANTE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1731 N. MARCEY SUITE 535
Mailing Address - Street 2:TERRY HEFTER ASSOCIATES, LLC
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-7965
Mailing Address - Country:US
Mailing Address - Phone:312-280-1166
Mailing Address - Fax:312-280-1199
Practice Address - Street 1:1731 N. MARCEY SUITE 535
Practice Address - Street 2:TERRY HEFTER ASSOCIATES, LLC
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-7965
Practice Address - Country:US
Practice Address - Phone:312-280-1166
Practice Address - Fax:312-280-1199
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-22
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL149.0138211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical