Provider Demographics
NPI:1891981957
Name:MCLAUGHLIN, MARTY B (LCSW)
Entity Type:Individual
Prefix:
First Name:MARTY
Middle Name:B
Last Name:MCLAUGHLIN
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 1:1100 COUGAR TRL
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:IL
Mailing Address - Zip Code:60013-6057
Mailing Address - Country:US
Mailing Address - Phone:888-291-2538
Mailing Address - Fax:847-516-2510
Practice Address - Street 1:1100 COUGAR TRL
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:IL
Practice Address - Zip Code:60013-6057
Practice Address - Country:US
Practice Address - Phone:888-291-2538
Practice Address - Fax:847-516-2510
Is Sole Proprietor?:No
Enumeration Date:2007-09-21
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical