Provider Demographics
NPI:1235522145
Name:HERMANN, BRITTANY L (LCSW)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:L
Last Name:HERMANN
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 1:39400 N DILLEYS RD
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:IL
Mailing Address - Zip Code:60083-9781
Mailing Address - Country:US
Mailing Address - Phone:847-406-0386
Mailing Address - Fax:
Practice Address - Street 1:39400 N DILLEYS RD
Practice Address - Street 2:
Practice Address - City:WADSWORTH
Practice Address - State:IL
Practice Address - Zip Code:60083-9781
Practice Address - Country:US
Practice Address - Phone:847-406-0386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-17
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0174401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical