Provider Demographics
NPI:1215213632
Name:HANCOCK, ELIZABETH CONSOLINO (MSW)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:CONSOLINO
Last Name:HANCOCK
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39W400 W BURNHAM LN
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-4892
Mailing Address - Country:US
Mailing Address - Phone:630-845-2627
Mailing Address - Fax:
Practice Address - Street 1:39W400 W BURNHAM LN
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-4892
Practice Address - Country:US
Practice Address - Phone:630-845-2627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0108841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical