Provider Demographics
NPI:1629338892
Name:EPSTEIN GILES, LAUREN FAE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:FAE
Last Name:EPSTEIN GILES
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 1:1212 LARRABEE LN
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-4671
Mailing Address - Country:US
Mailing Address - Phone:248-766-9703
Mailing Address - Fax:
Practice Address - Street 1:666 DUNDEE RD STE 1302
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-2736
Practice Address - Country:US
Practice Address - Phone:248-766-9703
Practice Address - Fax:847-400-5828
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-22
Last Update Date:2022-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.006527101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL149.006527OtherLCSW