Provider Demographics
NPI:1609074566
Name:LOPATE, BARBARA M (LCSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:M
Last Name:LOPATE
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 1:1720 W POLK ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-4328
Mailing Address - Country:US
Mailing Address - Phone:312-942-5375
Mailing Address - Fax:312-942-3113
Practice Address - Street 1:1720 W POLK ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-4328
Practice Address - Country:US
Practice Address - Phone:312-942-5375
Practice Address - Fax:312-942-3113
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical