Provider Demographics
NPI:1134327190
Name:GREGORY, LU LYNN (LCSW, CADC)
Entity Type:Individual
Prefix:MS
First Name:LU
Middle Name:LYNN
Last Name:GREGORY
Suffix:
Gender:F
Credentials:LCSW, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:727 N DEER RUN DR
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-8676
Mailing Address - Country:US
Mailing Address - Phone:847-358-1083
Mailing Address - Fax:
Practice Address - Street 1:2615 THREE OAKS RD
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:IL
Practice Address - Zip Code:60013-6127
Practice Address - Country:US
Practice Address - Phone:847-358-1083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL17964101YA0400X
IL149-0026951041C0700X
IL15293241041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool