Provider Demographics
NPI:1700139896
Name:SANGER, J ALEX (LCSW)
Entity Type:Individual
Prefix:MS
First Name:J
Middle Name:ALEX
Last Name:SANGER
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 1:25 E WASHINGTON ST STE 2005
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-1809
Mailing Address - Country:US
Mailing Address - Phone:312-925-9229
Mailing Address - Fax:844-965-9297
Practice Address - Street 1:25 E WASHINGTON ST STE 2005
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-1809
Practice Address - Country:US
Practice Address - Phone:312-925-9229
Practice Address - Fax:844-965-9297
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-26
Last Update Date:2023-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490147121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical