Provider Demographics
NPI:1821156894
Name:TORRES FERNANDEZ, EVELYN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:EVELYN
Middle Name:
Last Name:TORRES FERNANDEZ
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 1:3801 N NORMANDY AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-2438
Mailing Address - Country:US
Mailing Address - Phone:773-859-4499
Mailing Address - Fax:773-283-8448
Practice Address - Street 1:3801 N NORMANDY AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60634-2438
Practice Address - Country:US
Practice Address - Phone:773-859-4499
Practice Address - Fax:773-283-8448
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0090621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical