Provider Demographics
NPI:1275602674
Name:LINDAHL, STEVEN R (LCSW)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:R
Last Name:LINDAHL
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:577 WOODS CREEK LN
Mailing Address - Street 2:
Mailing Address - City:ALGONQUIN
Mailing Address - State:IL
Mailing Address - Zip Code:60102-6820
Mailing Address - Country:US
Mailing Address - Phone:630-202-3610
Mailing Address - Fax:847-658-4381
Practice Address - Street 1:600 SPRING HILL RING RD
Practice Address - Street 2:SUITE #106
Practice Address - City:WEST DUNDEE
Practice Address - State:IL
Practice Address - Zip Code:60118-7300
Practice Address - Country:US
Practice Address - Phone:630-202-3610
Practice Address - Fax:847-658-4381
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490120351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical