Provider Demographics
NPI:1265168843
Name:MALINOWSKI, SARAH CAITLIN (LPC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:CAITLIN
Last Name:MALINOWSKI
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 1:3651 W CORNELIA AVE UNIT E
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-5371
Mailing Address - Country:US
Mailing Address - Phone:651-491-2444
Mailing Address - Fax:
Practice Address - Street 1:5117 MAIN ST STE 15
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-4654
Practice Address - Country:US
Practice Address - Phone:630-506-1491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.017923101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional