Provider Demographics
NPI:1093808958
Name:FENTON, APRIL L (MSW ACSW LCSW)
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:L
Last Name:FENTON
Suffix:
Gender:F
Credentials:MSW ACSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 S MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-5359
Mailing Address - Country:US
Mailing Address - Phone:630-355-0333
Mailing Address - Fax:630-954-2707
Practice Address - Street 1:200 S MAIN STREET
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-5359
Practice Address - Country:US
Practice Address - Phone:630-355-0333
Practice Address - Fax:630-954-2707
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
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