Provider Demographics
NPI:1790547164
Name:GEORGOU, EMILY ANN (LCSW)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ANN
Last Name:GEORGOU
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 1:836 HARWICH LN
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60194-4255
Mailing Address - Country:US
Mailing Address - Phone:224-717-1934
Mailing Address - Fax:
Practice Address - Street 1:800 E NORTHWEST HWY STE 960
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60074-6512
Practice Address - Country:US
Practice Address - Phone:224-717-1934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490264291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical