Provider Demographics
NPI:1639105950
Name:GOLAS, KANDACE KAY (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:KANDACE
Middle Name:KAY
Last Name:GOLAS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MS
Other - First Name:KANDACE
Other - Middle Name:KAY
Other - Last Name:KLAPKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:55 W 22ND ST
Mailing Address - Street 2:SUITE #330
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-4854
Mailing Address - Country:US
Mailing Address - Phone:630-678-9092
Mailing Address - Fax:630-678-9093
Practice Address - Street 1:55 W 22ND ST
Practice Address - Street 2:SUITE #330
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-4854
Practice Address - Country:US
Practice Address - Phone:630-678-9092
Practice Address - Fax:630-678-9093
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
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