Provider Demographics
NPI:1144201443
Name:UMLAUF, MONICA (MSW,LCSW)
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:
Last Name:UMLAUF
Suffix:
Gender:F
Credentials:MSW,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3245 GROVE AVE
Mailing Address - Street 2:STE 107
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-3475
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3245 GROVE AVE
Practice Address - Street 2:STE 107
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-3475
Practice Address - Country:US
Practice Address - Phone:630-730-3564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-14
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0112131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical