Provider Demographics
NPI:1518136852
Name:SPIEGEL, MARNIE BETH (LCSW)
Entity type:Individual
Prefix:
First Name:MARNIE
Middle Name:BETH
Last Name:SPIEGEL
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 1:455 W ARMITAGE AVE
Mailing Address - Street 2:1E
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-4547
Mailing Address - Country:US
Mailing Address - Phone:312-335-9646
Mailing Address - Fax:
Practice Address - Street 1:445 E OHIO ST
Practice Address - Street 2:250
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-3302
Practice Address - Country:US
Practice Address - Phone:312-659-0311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical