Provider Demographics
NPI:1629495932
Name:STAIGER, ALLISON BYRNES (LCSW)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:BYRNES
Last Name:STAIGER
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 1:2858 W BELMONT AVE APT 1W
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-5863
Mailing Address - Country:US
Mailing Address - Phone:773-870-3553
Mailing Address - Fax:504-301-1026
Practice Address - Street 1:945 W GEORGE ST STE 206
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-5876
Practice Address - Country:US
Practice Address - Phone:773-870-3553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-25
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA110801041C0700X
IL149.0246501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical