Provider Demographics
NPI:1417615295
Name:ADAMS, TRESSEY L (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:TRESSEY
Middle Name:L
Last Name:ADAMS
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 1:105 CANTERBURY LN
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-0490
Mailing Address - Country:US
Mailing Address - Phone:630-835-9687
Mailing Address - Fax:
Practice Address - Street 1:553 EMERSON CIR
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-2643
Practice Address - Country:US
Practice Address - Phone:630-835-9687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490089961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical