Provider Demographics
NPI:1922019728
Name:GRAFF, GLORIA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:GLORIA
Middle Name:
Last Name:GRAFF
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 1:2737 ALISON LN
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-2101
Mailing Address - Country:US
Mailing Address - Phone:847-853-0154
Mailing Address - Fax:847-853-0154
Practice Address - Street 1:2737 ALISON LN
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-2101
Practice Address - Country:US
Practice Address - Phone:847-853-0154
Practice Address - Fax:847-853-0154
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILLCSW 149-0012391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical