Provider Demographics
NPI:1376645606
Name:STEIBEL, LOU ELLEN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LOU
Middle Name:ELLEN
Last Name:STEIBEL
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 1:1008 WHITE OAK DR.
Mailing Address - Street 2:
Mailing Address - City:RED BUD
Mailing Address - State:IL
Mailing Address - Zip Code:62278-2422
Mailing Address - Country:US
Mailing Address - Phone:618-282-6751
Mailing Address - Fax:
Practice Address - Street 1:1310 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:ALTON
Practice Address - State:IL
Practice Address - Zip Code:62002-2866
Practice Address - Country:US
Practice Address - Phone:618-465-4100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
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