Provider Demographics
NPI:1801031745
Name:INWOOD, ANNE LIDGUS (LCSW)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:LIDGUS
Last Name:INWOOD
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 1:3950 N LAKE SHORE DRIVE
Mailing Address - Street 2:#2005
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-5111
Mailing Address - Country:US
Mailing Address - Phone:847-224-0138
Mailing Address - Fax:312-284-4923
Practice Address - Street 1:3950 N LAKE SHORE DRIVE
Practice Address - Street 2:#2005
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-5111
Practice Address - Country:US
Practice Address - Phone:847-224-0138
Practice Address - Fax:312-284-4923
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-05
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.011004104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker