Provider Demographics
NPI:1164954681
Name:DRUMMOND, LOLITA (LCSW)
Entity Type:Individual
Prefix:
First Name:LOLITA
Middle Name:
Last Name:DRUMMOND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:LI
Other - Middle Name:SONJA
Other - Last Name:DRUMMOND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:4600 N CLARENDON AVE
Mailing Address - Street 2:#1303
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-5710
Mailing Address - Country:US
Mailing Address - Phone:773-878-8729
Mailing Address - Fax:
Practice Address - Street 1:4600 N CLARENDON AVE
Practice Address - Street 2:#1303
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-5710
Practice Address - Country:US
Practice Address - Phone:773-878-8729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-03
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0139451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical