Provider Demographics
NPI:1497164644
Name:DEBBIE GROSS, LCSW LTD.
Entity Type:Organization
Organization Name:DEBBIE GROSS, LCSW LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GROSS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:847-253-5352
Mailing Address - Street 1:3255 N ARLINGTON HEIGHTS RD
Mailing Address - Street 2:SUITE 502
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-1586
Mailing Address - Country:US
Mailing Address - Phone:847-253-5352
Mailing Address - Fax:847-537-7941
Practice Address - Street 1:3255 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:SUITE 502
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-1586
Practice Address - Country:US
Practice Address - Phone:847-253-5352
Practice Address - Fax:847-537-7941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-12
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490024881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty