Provider Demographics
NPI:1770845554
Name:STARMANN, LOUISE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LOUISE
Middle Name:
Last Name:STARMANN
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 1:111 W HARRIS AVE
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE
Mailing Address - State:IL
Mailing Address - Zip Code:60525-2336
Mailing Address - Country:US
Mailing Address - Phone:708-354-1323
Mailing Address - Fax:708-354-0282
Practice Address - Street 1:111 W HARRIS AVE
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:IL
Practice Address - Zip Code:60525-2336
Practice Address - Country:US
Practice Address - Phone:708-354-1323
Practice Address - Fax:708-354-0282
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0150741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical