Provider Demographics
NPI:1750402665
Name:OSKIN, FAYE TREGER (LCSW, DT)
Entity type:Individual
Prefix:MRS
First Name:FAYE
Middle Name:TREGER
Last Name:OSKIN
Suffix:
Gender:F
Credentials:LCSW, DT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3922 FARGO AVE
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-3918
Mailing Address - Country:US
Mailing Address - Phone:847-373-4351
Mailing Address - Fax:773-248-9206
Practice Address - Street 1:3922 FARGO AVE
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-3918
Practice Address - Country:US
Practice Address - Phone:847-373-4351
Practice Address - Fax:773-248-9206
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1049.0013101041C0700X
222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist