Provider Demographics
NPI:1710595442
Name:KRAUSS, HEIDI JEAN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:HEIDI
Middle Name:JEAN
Last Name:KRAUSS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:HEIDI
Other - Middle Name:JEAN
Other - Last Name:KOWAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4004 N MONITOR AVE APT 2S
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-1792
Mailing Address - Country:US
Mailing Address - Phone:773-208-5899
Mailing Address - Fax:
Practice Address - Street 1:333 N MICHIGAN AVE STE 1400
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-4011
Practice Address - Country:US
Practice Address - Phone:312-815-9660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-20
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490160141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty