Provider Demographics
NPI:1235233891
Name:ENGLANDER, ARLENE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:ARLENE
Middle Name:
Last Name:ENGLANDER
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 1:155 N HARBOR DR
Mailing Address - Street 2:#308
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601
Mailing Address - Country:US
Mailing Address - Phone:312-240-0311
Mailing Address - Fax:312-240-0170
Practice Address - Street 1:30 N MICHIGAN AV
Practice Address - Street 2:#1627
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602
Practice Address - Country:US
Practice Address - Phone:312-236-7636
Practice Address - Fax:312-240-0170
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149005435103T00000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL335481Medicare ID - Type Unspecified