Provider Demographics
NPI:1558675322
Name:GUDONIS, KATHRYN ANN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:ANN
Last Name:GUDONIS
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 1:1531 S GROVE AVE
Mailing Address - Street 2:UNIT 204
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-5251
Mailing Address - Country:US
Mailing Address - Phone:847-381-2700
Mailing Address - Fax:847-387-3120
Practice Address - Street 1:1531 S GROVE AVE
Practice Address - Street 2:UNIT 204
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-5251
Practice Address - Country:US
Practice Address - Phone:847-381-2700
Practice Address - Fax:847-387-3120
Is Sole Proprietor?:No
Enumeration Date:2010-08-03
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0128951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical