Provider Demographics
NPI:1700886579
Name:ARONSON, JUDITH (LCSW, BCD)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:
Last Name:ARONSON
Suffix:
Gender:F
Credentials:LCSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1575 FLORENCE AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-4083
Mailing Address - Country:US
Mailing Address - Phone:847-475-3883
Mailing Address - Fax:847-475-5028
Practice Address - Street 1:1575 FLORENCE AVE
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-4083
Practice Address - Country:US
Practice Address - Phone:847-475-3883
Practice Address - Fax:847-475-5028
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical