Provider Demographics
NPI:1417738162
Name:RIOS ALBARRAN, SONIA M (LSW)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:M
Last Name:RIOS ALBARRAN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:SONIA
Other - Middle Name:
Other - Last Name:RIOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LSW
Mailing Address - Street 1:39307 N MELBOURNE CT
Mailing Address - Street 2:
Mailing Address - City:BEACH PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60083-3026
Mailing Address - Country:US
Mailing Address - Phone:122-471-7454
Mailing Address - Fax:
Practice Address - Street 1:900 NORTH SHORE DR STE 120
Practice Address - Street 2:
Practice Address - City:LAKE BLUFF
Practice Address - State:IL
Practice Address - Zip Code:60044-2225
Practice Address - Country:US
Practice Address - Phone:847-615-1698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1501061391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical