Provider Demographics
NPI:1598882532
Name:HEWITT, LINDA B (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:B
Last Name:HEWITT
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 1:8532 TRUMBULL AVE
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-2440
Mailing Address - Country:US
Mailing Address - Phone:847-302-2117
Mailing Address - Fax:
Practice Address - Street 1:1500 SKOKIE BLVD
Practice Address - Street 2:SUITE 560
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-4121
Practice Address - Country:US
Practice Address - Phone:847-302-2117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0036261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01635705OtherBLUE CROSS BLUE SHIELD