Provider Demographics
NPI:1295909133
Name:SCHULIEN, HEATHER LEE (LCSW)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:LEE
Last Name:SCHULIEN
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 1:3525 W PETERSON AVE
Mailing Address - Street 2:SUITE T-17
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-3324
Mailing Address - Country:US
Mailing Address - Phone:312-498-2566
Mailing Address - Fax:773-427-6409
Practice Address - Street 1:3525 W PETERSON AVE
Practice Address - Street 2:SUITE T-17
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659
Practice Address - Country:US
Practice Address - Phone:312-498-2566
Practice Address - Fax:773-427-6409
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0132551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical