Provider Demographics
NPI:1275068454
Name:LAPLANTE, MICHELLE K (LCSW)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:K
Last Name:LAPLANTE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:K
Other - Last Name:YEAROUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:566 RED SPRUCE TRL
Mailing Address - Street 2:
Mailing Address - City:LAKE VILLA
Mailing Address - State:IL
Mailing Address - Zip Code:60046-6522
Mailing Address - Country:US
Mailing Address - Phone:262-237-0537
Mailing Address - Fax:
Practice Address - Street 1:566 RED SPRUCE TRL
Practice Address - Street 2:
Practice Address - City:LAKE VILLA
Practice Address - State:IL
Practice Address - Zip Code:60046-6522
Practice Address - Country:US
Practice Address - Phone:262-237-0537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-26
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0163281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical