Provider Demographics
NPI:1144385311
Name:MANTOVANI, DEBORAH ANNE (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ANNE
Last Name:MANTOVANI
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:ANNE
Other - Last Name:WENN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:1020 BURKE CT
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-9177
Mailing Address - Country:US
Mailing Address - Phone:630-369-8797
Mailing Address - Fax:
Practice Address - Street 1:FOX VALLEY INSTITUTE
Practice Address - Street 2:640 N. RIVER RD. UNIT 108
Practice Address - City:NAPERVILLE
Practice Address - State:FL
Practice Address - Zip Code:60563
Practice Address - Country:US
Practice Address - Phone:847-544-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490038631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical