Provider Demographics
NPI:1003647629
Name:HORNSTEIN, ZOEY MARIE (LSW, CADC)
Entity type:Individual
Prefix:
First Name:ZOEY
Middle Name:MARIE
Last Name:HORNSTEIN
Suffix:
Gender:F
Credentials:LSW, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 MENSCHING RD
Mailing Address - Street 2:
Mailing Address - City:ROSELLE
Mailing Address - State:IL
Mailing Address - Zip Code:60172-1828
Mailing Address - Country:US
Mailing Address - Phone:630-439-4570
Mailing Address - Fax:
Practice Address - Street 1:950 MENSCHING RD
Practice Address - Street 2:
Practice Address - City:ROSELLE
Practice Address - State:IL
Practice Address - Zip Code:60172-1828
Practice Address - Country:US
Practice Address - Phone:630-439-4570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.113907104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker