Provider Demographics
NPI:1205584281
Name:SHLEMON, SARAH ESTHER (LCSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ESTHER
Last Name:SHLEMON
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 1:518 N MAYFIELD AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60644-2083
Mailing Address - Country:US
Mailing Address - Phone:301-602-1783
Mailing Address - Fax:
Practice Address - Street 1:518 N MAYFIELD AVE APT 1
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60644-2083
Practice Address - Country:US
Practice Address - Phone:301-602-1783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-17
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0284431041C0700X
CALCSW1281581041C0700X
CAASW1067591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical