Provider Demographics
NPI:1649481839
Name:LINDO, ALEFIYAH ABID (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ALEFIYAH
Middle Name:ABID
Last Name:LINDO
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 1:47 6TH AVE
Mailing Address - Street 2:SUITE H-6
Mailing Address - City:LA GRANGE
Mailing Address - State:IL
Mailing Address - Zip Code:60525-2499
Mailing Address - Country:US
Mailing Address - Phone:630-479-3002
Mailing Address - Fax:
Practice Address - Street 1:47 6TH AVE
Practice Address - Street 2:SUITE H-6
Practice Address - City:LA GRANGE
Practice Address - State:IL
Practice Address - Zip Code:60525-2499
Practice Address - Country:US
Practice Address - Phone:630-479-3002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-27
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0121721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical