Provider Demographics
NPI:1801821392
Name:FLEISHER, HELEN Z (LCSW)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:Z
Last Name:FLEISHER
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 1:1103 WESTGATE ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60301-1088
Mailing Address - Country:US
Mailing Address - Phone:708-383-4170
Mailing Address - Fax:708-383-4298
Practice Address - Street 1:1103 WESTGATE ST
Practice Address - Street 2:SUITE 200
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301-1088
Practice Address - Country:US
Practice Address - Phone:708-383-4170
Practice Address - Fax:708-383-4298
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490024041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL20382Medicare ID - Type UnspecifiedMEDICARE PART B PROVIDER