Provider Demographics
NPI:1568231629
Name:WHITFIELD, ABENI (LCSW)
Entity Type:Individual
Prefix:
First Name:ABENI
Middle Name:
Last Name:WHITFIELD
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 1:300 E RANDOLPH ST FL 4
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-5099
Mailing Address - Country:US
Mailing Address - Phone:312-653-9040
Mailing Address - Fax:312-309-0368
Practice Address - Street 1:300 E RANDOLPH ST FL 4
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-5099
Practice Address - Country:US
Practice Address - Phone:312-653-9040
Practice Address - Fax:312-309-0368
Is Sole Proprietor?:No
Enumeration Date:2023-12-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490142871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical