Provider Demographics
NPI:1164799359
Name:DANEK, ANGELIKA (LCSW, CRADC)
Entity Type:Individual
Prefix:MS
First Name:ANGELIKA
Middle Name:
Last Name:DANEK
Suffix:
Gender:F
Credentials:LCSW, CRADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 ELK BLVD
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-3506
Mailing Address - Country:US
Mailing Address - Phone:773-392-9103
Mailing Address - Fax:
Practice Address - Street 1:6650 N NORTHWEST HWY
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-1307
Practice Address - Country:US
Practice Address - Phone:773-392-9103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-16
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL22119101YA0400X
IL149.0148861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)