Provider Demographics
NPI:1497801963
Name:LEY, JEANNE ANN (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:ANN
Last Name:LEY
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 N NORTH CT
Mailing Address - Street 2:SUITE 380
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-8157
Mailing Address - Country:US
Mailing Address - Phone:847-327-1440
Mailing Address - Fax:847-705-0147
Practice Address - Street 1:675 N NORTH CT
Practice Address - Street 2:SUITE 380
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-8157
Practice Address - Country:US
Practice Address - Phone:847-327-1440
Practice Address - Fax:847-705-0147
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
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