Provider Demographics
NPI:1508156654
Name:SCHUSTEFF, JUSTEEN (MSW, LCSW, CADC, GCE)
Entity Type:Individual
Prefix:
First Name:JUSTEEN
Middle Name:
Last Name:SCHUSTEFF
Suffix:
Gender:F
Credentials:MSW, LCSW, CADC, GCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 HARDING AVE
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-1765
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:505 E HAWLEY ST
Practice Address - Street 2:SUITE 140
Practice Address - City:MUNDELEIN
Practice Address - State:IL
Practice Address - Zip Code:60060-2494
Practice Address - Country:US
Practice Address - Phone:847-644-5771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL28205101YA0400X
IL149.0140921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)