Provider Demographics
NPI:1437365020
Name:DEPOWSKI, SHARON J (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:J
Last Name:DEPOWSKI
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:THERAPEUTIC CHANGES, P.C.
Mailing Address - Street 2:311 E. DICKENS AVENUE
Mailing Address - City:NORTHLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60164-1811
Mailing Address - Country:US
Mailing Address - Phone:708-223-8283
Mailing Address - Fax:708-223-8283
Practice Address - Street 1:311 E DICKENS AVE
Practice Address - Street 2:
Practice Address - City:NORTHLAKE
Practice Address - State:IL
Practice Address - Zip Code:60164-1811
Practice Address - Country:US
Practice Address - Phone:708-223-8283
Practice Address - Fax:708-223-8283
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical