Provider Demographics
NPI:1417546607
Name:ENGLISH, MATTHEW Q IV (LCSW)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:Q
Last Name:ENGLISH
Suffix:IV
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 1:615 W BRIAR PL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-4520
Mailing Address - Country:US
Mailing Address - Phone:224-406-1610
Mailing Address - Fax:
Practice Address - Street 1:3 ERIE CT STE 1300
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-2519
Practice Address - Country:US
Practice Address - Phone:708-406-3929
Practice Address - Fax:708-406-3935
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490225341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical