Provider Demographics
NPI:1184865271
Name:CONRAD, DARLENE F (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:F
Last Name:CONRAD
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 1:21635 W HILANDALE CT
Mailing Address - Street 2:
Mailing Address - City:KILDEER
Mailing Address - State:IL
Mailing Address - Zip Code:60047-8842
Mailing Address - Country:US
Mailing Address - Phone:847-507-0799
Mailing Address - Fax:847-847-1562
Practice Address - Street 1:1217 MCHENRY RD
Practice Address - Street 2:SUITE 237
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-1379
Practice Address - Country:US
Practice Address - Phone:847-507-0799
Practice Address - Fax:847-847-1562
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-18
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0091971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical