Provider Demographics
NPI:1881856409
Name:NEAFSEY, MAURA G (LCSW)
Entity Type:Individual
Prefix:
First Name:MAURA
Middle Name:G
Last Name:NEAFSEY
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 1:1431 W THOME AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-1819
Mailing Address - Country:US
Mailing Address - Phone:773-764-2964
Mailing Address - Fax:
Practice Address - Street 1:1431 W THOME AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60660-1819
Practice Address - Country:US
Practice Address - Phone:773-764-2964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0063511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical