Provider Demographics
NPI:1598832800
Name:BENO, MARY FRANCES HESSBURG (LCSW)
Entity Type:Individual
Prefix:
First Name:MARY FRANCES
Middle Name:HESSBURG
Last Name:BENO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARY FRANCES
Other - Middle Name:HESSBURG
Other - Last Name:NEMMERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:390 CLIFF CT
Mailing Address - Street 2:
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-3170
Mailing Address - Country:US
Mailing Address - Phone:630-515-0137
Mailing Address - Fax:
Practice Address - Street 1:390 CLIFF CT
Practice Address - Street 2:
Practice Address - City:LISLE
Practice Address - State:IL
Practice Address - Zip Code:60532-3170
Practice Address - Country:US
Practice Address - Phone:630-515-0137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
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