Provider Demographics
NPI:1457858037
Name:SCIORTINO-CONE, SARAH ANNE (LCSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ANNE
Last Name:SCIORTINO-CONE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ANNE
Other - Last Name:SCIORTINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:814 WOODWARD AVE
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-2865
Mailing Address - Country:US
Mailing Address - Phone:847-431-0837
Mailing Address - Fax:
Practice Address - Street 1:636 CHURCH ST STE 515
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-4581
Practice Address - Country:US
Practice Address - Phone:847-431-0837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-10
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0200111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical