Provider Demographics
NPI:1417105214
Name:HOWEY, KIMBERLEY ELIZABETH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLEY
Middle Name:ELIZABETH
Last Name:HOWEY
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 1:1164 1/2 S OAK PARK AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60304-2613
Mailing Address - Country:US
Mailing Address - Phone:773-319-7556
Mailing Address - Fax:630-543-9276
Practice Address - Street 1:1164 1/2 S OAK PARK AVE
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60304-2613
Practice Address - Country:US
Practice Address - Phone:773-319-7556
Practice Address - Fax:630-543-9276
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490130801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical