Provider Demographics
NPI:1821079732
Name:SPOHN, JONI C (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JONI
Middle Name:C
Last Name:SPOHN
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 1:475 DUNHAM RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60174-1498
Mailing Address - Country:US
Mailing Address - Phone:630-444-0004
Mailing Address - Fax:630-444-0004
Practice Address - Street 1:475 DUNHAM RD
Practice Address - Street 2:SUITE F
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60174-1498
Practice Address - Country:US
Practice Address - Phone:630-444-0004
Practice Address - Fax:630-444-0004
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
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