Provider Demographics
NPI:1497859821
Name:FRENKEL, ANNE VERONICA (LCSW)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:VERONICA
Last Name:FRENKEL
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 1:1110 ASHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-1604
Mailing Address - Country:US
Mailing Address - Phone:847-251-1286
Mailing Address - Fax:
Practice Address - Street 1:1110 ASHLAND AVE
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-1604
Practice Address - Country:US
Practice Address - Phone:847-251-1286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
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