Provider Demographics
NPI:1467762625
Name:PLACKO, CAROLYN E SCHAEFER (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:E SCHAEFER
Last Name:PLACKO
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 1:2500 WINDSOR MALL
Mailing Address - Street 2:1H
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-3693
Mailing Address - Country:US
Mailing Address - Phone:224-901-2029
Mailing Address - Fax:847-518-5335
Practice Address - Street 1:350 S NORTHWEST HWY
Practice Address - Street 2:STE 300
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-4262
Practice Address - Country:US
Practice Address - Phone:224-901-2029
Practice Address - Fax:847-518-5335
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-20
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0130651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical