Provider Demographics
NPI:1457496036
Name:PADRON SIKORA, ANNA MARIA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:MARIA
Last Name:PADRON SIKORA
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 1:6604-06 WEST 14 STREET
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402
Mailing Address - Country:US
Mailing Address - Phone:312-919-1982
Mailing Address - Fax:
Practice Address - Street 1:120 MAMON ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302
Practice Address - Country:US
Practice Address - Phone:708-386-2100
Practice Address - Fax:708-383-1253
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
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