Provider Demographics
NPI:1184483471
Name:SANTA MARIA, CARINA HOMANN (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:CARINA
Middle Name:HOMANN
Last Name:SANTA MARIA
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 N ARLINGTON HEIGHTS RD STE 101
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-3955
Mailing Address - Country:US
Mailing Address - Phone:630-788-1985
Mailing Address - Fax:
Practice Address - Street 1:1616 N ARLINGTON HEIGHTS RD STE 101
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-3955
Practice Address - Country:US
Practice Address - Phone:630-788-1985
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149019564101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health