Provider Demographics
NPI:1770460818
Name:KRAFT, SABRINA JO (LCSW)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:JO
Last Name:KRAFT
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 1:2447 OAK PARK AVE
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-2530
Mailing Address - Country:US
Mailing Address - Phone:240-750-3022
Mailing Address - Fax:
Practice Address - Street 1:30 N MICHIGAN AVE STE 2029
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3611
Practice Address - Country:US
Practice Address - Phone:773-345-3495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0291701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical