Provider Demographics
NPI:1336385210
Name:KRAUS, JOYCE K (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:K
Last Name:KRAUS
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 1:1733 S LA LONDE AVE
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-3500
Mailing Address - Country:US
Mailing Address - Phone:815-725-1440
Mailing Address - Fax:815-725-1550
Practice Address - Street 1:300 REPUBLIC AVE
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-6520
Practice Address - Country:US
Practice Address - Phone:815-725-1440
Practice Address - Fax:815-725-1550
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-26
Last Update Date:2008-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0098441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical