Provider Demographics
NPI:1609128834
Name:STRAUSS, MELINDA ESKIN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MELINDA
Middle Name:ESKIN
Last Name:STRAUSS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:MELINDA
Other - Middle Name:ILEEN
Other - Last Name:ESKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1745 PORTAGE PASS
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-1815
Mailing Address - Country:US
Mailing Address - Phone:847-702-3204
Mailing Address - Fax:
Practice Address - Street 1:1745 PORTAGE PASS
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-1815
Practice Address - Country:US
Practice Address - Phone:847-702-3204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-11
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0054121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical