Provider Demographics
NPI:1699856575
Name:WHETSTINE, DAWN L (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:L
Last Name:WHETSTINE
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 1:830 E HIGGINS RD STE 104H
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4792
Mailing Address - Country:US
Mailing Address - Phone:708-825-6037
Mailing Address - Fax:708-919-5119
Practice Address - Street 1:830 E HIGGINS RD STE 104H
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4792
Practice Address - Country:US
Practice Address - Phone:708-825-6037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2017-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490072091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL149007209OtherLCSW
IL1841615929OtherPRACTICE AFFILIATION NPI