Provider Demographics
NPI:1518362276
Name:ZAROWNY, PHILIP M (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:M
Last Name:ZAROWNY
Suffix:
Gender:M
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 1:322 TEMPLE AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-1427
Mailing Address - Country:US
Mailing Address - Phone:847-962-5011
Mailing Address - Fax:
Practice Address - Street 1:322 TEMPLE AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-1427
Practice Address - Country:US
Practice Address - Phone:847-962-5011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-23
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL31800101YA0400X
IL149.0168641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)