Provider Demographics
NPI:1760741300
Name:ARENDT, ALISON S (MSW)
Entity Type:Individual
Prefix:MS
First Name:ALISON
Middle Name:S
Last Name:ARENDT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42W449 BURLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60124-8706
Mailing Address - Country:US
Mailing Address - Phone:847-863-3821
Mailing Address - Fax:630-879-9109
Practice Address - Street 1:143 FIRST ST STE 202
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-3102
Practice Address - Country:US
Practice Address - Phone:847-863-3821
Practice Address - Fax:630-879-9109
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-15
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0109531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical