Provider Demographics
NPI:1932468907
Name:ROONEY, JANE ELIZABETH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:ELIZABETH
Last Name:ROONEY
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 1:1423 W THOME AVE
Mailing Address - Street 2:APT 3N
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-1839
Mailing Address - Country:US
Mailing Address - Phone:773-220-6778
Mailing Address - Fax:
Practice Address - Street 1:5045 W 47TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60638-2038
Practice Address - Country:US
Practice Address - Phone:773-735-6773
Practice Address - Fax:773-735-6713
Is Sole Proprietor?:No
Enumeration Date:2012-05-11
Last Update Date:2024-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-001561101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health