Provider Demographics
NPI:1972993988
Name:ESCHBACH, NANCY A (LCSW)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:A
Last Name:ESCHBACH
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 1:844 AZURE CT
Mailing Address - Street 2:
Mailing Address - City:COROLLA
Mailing Address - State:NC
Mailing Address - Zip Code:27927-9699
Mailing Address - Country:US
Mailing Address - Phone:847-877-3970
Mailing Address - Fax:
Practice Address - Street 1:1585 ELLINWOOD AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-4510
Practice Address - Country:US
Practice Address - Phone:847-877-3970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-28
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490049251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical