Provider Demographics
NPI:1922132927
Name:KAUFMAN, ADELE (MSW)
Entity Type:Individual
Prefix:
First Name:ADELE
Middle Name:
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 EDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-4621
Mailing Address - Country:US
Mailing Address - Phone:847-432-7585
Mailing Address - Fax:847-432-0325
Practice Address - Street 1:825 EDGEWOOD RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-4621
Practice Address - Country:US
Practice Address - Phone:847-432-7585
Practice Address - Fax:847-432-0325
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
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