Provider Demographics
NPI:1255017687
Name:GROSKLAUS, ANNE MARGARET (LCSW)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:MARGARET
Last Name:GROSKLAUS
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 1:2111 N RACINE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-4001
Mailing Address - Country:US
Mailing Address - Phone:312-248-2958
Mailing Address - Fax:
Practice Address - Street 1:1200 N ASHLAND AVE STE 500
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-8327
Practice Address - Country:US
Practice Address - Phone:312-248-2958
Practice Address - Fax:312-748-4298
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-22
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490136591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical