Provider Demographics
NPI:1790091601
Name:ABRAHAMS, JOSHUA AARON (LCSW, MS)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:AARON
Last Name:ABRAHAMS
Suffix:
Gender:M
Credentials:LCSW, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 N DEARBORN ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-3300
Mailing Address - Country:US
Mailing Address - Phone:773-542-3371
Mailing Address - Fax:
Practice Address - Street 1:100 N WESTERN AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-2480
Practice Address - Country:US
Practice Address - Phone:312-455-5200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-30
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0167381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical