Provider Demographics
NPI:1083163497
Name:HOMOLA-MECKES, VICKI S (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:VICKI
Middle Name:S
Last Name:HOMOLA-MECKES
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MS
Other - First Name:VICKI
Other - Middle Name:
Other - Last Name:HOMOLA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:750 S WARRINGTON RD
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-3152
Mailing Address - Country:US
Mailing Address - Phone:224-425-9657
Mailing Address - Fax:
Practice Address - Street 1:2030 E ALGONQUIN RD STE 401
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4159
Practice Address - Country:US
Practice Address - Phone:224-425-9657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-27
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0176851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical