Provider Demographics
NPI:1588643399
Name:DEVANEY, ELIZABETH WHITNEY (LCSW)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:WHITNEY
Last Name:DEVANEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LIZA
Other - Middle Name:W
Other - Last Name:DEVANEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:2335 HUDSON CIR
Mailing Address - Street 2:AURORA
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60502-7338
Mailing Address - Country:US
Mailing Address - Phone:630-788-1573
Mailing Address - Fax:
Practice Address - Street 1:120 SPALDING DR
Practice Address - Street 2:NAPERVILLE
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6508
Practice Address - Country:US
Practice Address - Phone:630-527-5484
Practice Address - Fax:630-527-5488
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2232829OtherBLUE CROSS BLUE SHEILD