Provider Demographics
NPI:1225132343
Name:MOROSOW-KROMA, MARCY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARCY
Middle Name:
Last Name:MOROSOW-KROMA
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 1:1010 W LAKE STREET
Mailing Address - Street 2:SUITE 502A
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60301-1135
Mailing Address - Country:US
Mailing Address - Phone:630-305-0847
Mailing Address - Fax:773-525-7940
Practice Address - Street 1:1010 W LAKE STREET
Practice Address - Street 2:SUITE 502A
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301-1135
Practice Address - Country:US
Practice Address - Phone:773-525-7942
Practice Address - Fax:773-525-7940
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
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