Provider Demographics
NPI:1164505897
Name:PARCHEN, ANALEISE RUTH (LCSW)
Entity Type:Individual
Prefix:
First Name:ANALEISE
Middle Name:RUTH
Last Name:PARCHEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6115 N MEADE AVE
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-3814
Mailing Address - Country:US
Mailing Address - Phone:773-792-3652
Mailing Address - Fax:
Practice Address - Street 1:6115 N MEADE AVE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-3814
Practice Address - Country:US
Practice Address - Phone:773-792-3652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
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