Provider Demographics
NPI:1629281456
Name:REISS, CATHERINE FRANCES (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:FRANCES
Last Name:REISS
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 1:4601 SAUK TRL
Mailing Address - Street 2:
Mailing Address - City:RICHTON PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60471-1470
Mailing Address - Country:US
Mailing Address - Phone:708-679-5200
Mailing Address - Fax:708-747-1106
Practice Address - Street 1:4601 SAUK TRL
Practice Address - Street 2:
Practice Address - City:RICHTON PARK
Practice Address - State:IL
Practice Address - Zip Code:60471-1470
Practice Address - Country:US
Practice Address - Phone:708-679-5200
Practice Address - Fax:708-747-1106
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
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