Provider Demographics
NPI:1518215938
Name:ACCETTURO, ROBYN V (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:V
Last Name:ACCETTURO
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 1:1006 ROLLING DR
Mailing Address - Street 2:
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-2327
Mailing Address - Country:US
Mailing Address - Phone:630-241-2632
Mailing Address - Fax:
Practice Address - Street 1:1006 ROLLING DR
Practice Address - Street 2:
Practice Address - City:LISLE
Practice Address - State:IL
Practice Address - Zip Code:60532-2327
Practice Address - Country:US
Practice Address - Phone:630-241-2632
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0043461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical