Provider Demographics
NPI:1255890125
Name:NEMCHAUSKY, CATHERINE (LPC)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:
Last Name:NEMCHAUSKY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SWALLOW CT
Mailing Address - Street 2:
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-1717
Mailing Address - Country:US
Mailing Address - Phone:630-886-8652
Mailing Address - Fax:
Practice Address - Street 1:477 E. BUTTERFIELD
Practice Address - Street 2:SUITE 202
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-6164
Practice Address - Country:US
Practice Address - Phone:630-442-7661
Practice Address - Fax:630-396-9993
Is Sole Proprietor?:No
Enumeration Date:2019-03-19
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178007936101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1619493855OtherBLUE CROSS BLUE SHIELD