Provider Demographics
NPI:1700973500
Name:MINZER, ALBERTO (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ALBERTO
Middle Name:
Last Name:MINZER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 N YARMOUTH PL APT 106
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-1064
Mailing Address - Country:US
Mailing Address - Phone:847-602-8023
Mailing Address - Fax:847-392-0274
Practice Address - Street 1:715 E GOLF RD
Practice Address - Street 2:STE 200A1
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4595
Practice Address - Country:US
Practice Address - Phone:847-602-8023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-000331174400000X
IL1490003311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty