Provider Demographics
NPI:1235148925
Name:LAMERMAYER FLAHERTY, KATHRYN MARY (LCSW)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:MARY
Last Name:LAMERMAYER FLAHERTY
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 1:5935 N WASHTENAW AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-3913
Mailing Address - Country:US
Mailing Address - Phone:773-784-7634
Mailing Address - Fax:
Practice Address - Street 1:3080 W LAKE AVE
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-1210
Practice Address - Country:US
Practice Address - Phone:773-769-7651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.006245104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker