Provider Demographics
NPI:1417102336
Name:ACKER, BARBARA FENNER (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:FENNER
Last Name:ACKER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 LINCOLN ST
Mailing Address - Street 2:APT 2N
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-5820
Mailing Address - Country:US
Mailing Address - Phone:847-699-2100
Mailing Address - Fax:847-699-2180
Practice Address - Street 1:960 RAND RD
Practice Address - Street 2:SUITE 215
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-2352
Practice Address - Country:US
Practice Address - Phone:847-699-2100
Practice Address - Fax:847-699-2180
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-19
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0095371041C0700X
IL1490095371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical