Provider Demographics
NPI:1730290586
Name:MENEGHINI, PATRICIA (MA LSW LCPC CADC)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:
Last Name:MENEGHINI
Suffix:
Gender:F
Credentials:MA LSW LCPC CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5910 W 88TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453
Mailing Address - Country:US
Mailing Address - Phone:708-307-3795
Mailing Address - Fax:708-636-7067
Practice Address - Street 1:10255 SO RIDGELAND AVE
Practice Address - Street 2:SUITE A
Practice Address - City:CHICAGO RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60415
Practice Address - Country:US
Practice Address - Phone:708-425-1140
Practice Address - Fax:708-425-1140
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional