Provider Demographics
NPI:1649305632
Name:STRUEBING, MARIBETH (LCSW)
Entity type:Individual
Prefix:
First Name:MARIBETH
Middle Name:
Last Name:STRUEBING
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 1:34121 N US HIGHWAY 45
Mailing Address - Street 2:SUITE 227
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030-1768
Mailing Address - Country:US
Mailing Address - Phone:847-287-7203
Mailing Address - Fax:
Practice Address - Street 1:34121 N US HIGHWAY 45
Practice Address - Street 2:SUITE 227
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-1768
Practice Address - Country:US
Practice Address - Phone:847-287-7203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490114871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical