Provider Demographics
NPI:1952452328
Name:PRITZEN, MARCY G (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARCY
Middle Name:G
Last Name:PRITZEN
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 1:3295 N ARLINGTON HEIGHTS RD STE 109
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-1588
Mailing Address - Country:US
Mailing Address - Phone:847-636-6364
Mailing Address - Fax:847-516-5715
Practice Address - Street 1:3295 N ARLINGTON HEIGHTS RD STE 109
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-1588
Practice Address - Country:US
Practice Address - Phone:847-636-6364
Practice Address - Fax:847-516-5715
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-14
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490053311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL5621817Medicare UPIN
IL576930Medicare ID - Type Unspecified