Provider Demographics
NPI:1285650184
Name:ASIEGBU-ARENE, CLAIRE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:
Last Name:ASIEGBU-ARENE
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:PO BOX 8561
Mailing Address - Street 2:
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-7017
Mailing Address - Country:US
Mailing Address - Phone:847-279-3976
Mailing Address - Fax:847-279-3976
Practice Address - Street 1:180 MILWAUKEE AVE
Practice Address - Street 2:204
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-1840
Practice Address - Country:US
Practice Address - Phone:847-279-3976
Practice Address - Fax:847-279-3976
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL213092Medicare ID - Type UnspecifiedPROVIDER IDENTIFICATION
IL212112Medicare ID - Type UnspecifiedPROVIDER IDENTIFICATION