Provider Demographics
NPI:1811027105
Name:BELL, COURTNEY BROOKE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:BROOKE
Last Name:BELL
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 1:1025 RANDOLPH ST
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-3470
Mailing Address - Country:US
Mailing Address - Phone:773-425-6675
Mailing Address - Fax:
Practice Address - Street 1:125 E LAKE ST STE 203
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-1117
Practice Address - Country:US
Practice Address - Phone:630-924-0199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical