Provider Demographics
NPI:1679070429
Name:DEMPSEY, WILLIAM (LICSW)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:DEMPSEY
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:WILL
Other - Middle Name:
Other - Last Name:DEMPSEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:332 S MICHIGAN AVE STE 121
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60604-4302
Mailing Address - Country:US
Mailing Address - Phone:617-237-6664
Mailing Address - Fax:
Practice Address - Street 1:1328 W EDDY ST APT 1
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-8174
Practice Address - Country:US
Practice Address - Phone:617-237-6664
Practice Address - Fax:617-977-2891
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490221711041C0700X
MA1223231041C0700X
NY0943421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical