Provider Demographics
NPI:1093939076
Name:LOPRESTI, LINNEA LONERGAN (LCSW, ACSW)
Entity Type:Individual
Prefix:
First Name:LINNEA
Middle Name:LONERGAN
Last Name:LOPRESTI
Suffix:
Gender:F
Credentials:LCSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 W LAKE SHORE DR
Mailing Address - Street 2:
Mailing Address - City:TOWER LAKES
Mailing Address - State:IL
Mailing Address - Zip Code:60010-1130
Mailing Address - Country:US
Mailing Address - Phone:847-833-4787
Mailing Address - Fax:847-526-8524
Practice Address - Street 1:285 W LAKE SHORE DR
Practice Address - Street 2:
Practice Address - City:TOWER LAKES
Practice Address - State:IL
Practice Address - Zip Code:60010-1130
Practice Address - Country:US
Practice Address - Phone:847-833-4787
Practice Address - Fax:847-526-8524
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
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
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL04932614OtherBLUE CROSS BLUE SHIELD