Provider Demographics
NPI:1649023425
Name:DONNA CRUNKILTON-STIEGEL LCSW LLC
Entity type:Organization
Organization Name:DONNA CRUNKILTON-STIEGEL LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUNKILTON-STIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:847-989-6026
Mailing Address - Street 1:1540 CEDARWOOD CT
Mailing Address - Street 2:
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-6346
Mailing Address - Country:US
Mailing Address - Phone:847-989-6026
Mailing Address - Fax:
Practice Address - Street 1:1540 CEDARWOOD CT
Practice Address - Street 2:
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-6346
Practice Address - Country:US
Practice Address - Phone:847-989-6026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty