Provider Demographics
NPI:1477529865
Name:HITCHCOCK, CINDY R (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:R
Last Name:HITCHCOCK
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:R
Other - Last Name:HITCHCOCK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2500 W. HIGGINS ROAD
Mailing Address - Street 2:SUITE 1279
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-2051
Mailing Address - Country:US
Mailing Address - Phone:847-373-5700
Mailing Address - Fax:847-884-7441
Practice Address - Street 1:2500 W. HIGGINS ROAD
Practice Address - Street 2:SUITE 1279
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-2051
Practice Address - Country:US
Practice Address - Phone:847-373-5700
Practice Address - Fax:847-884-7441
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-24
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490084031041C0700X
IL149-008403104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical