Provider Demographics
NPI:1750597795
Name:LAU, SHERRI ANN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:ANN
Last Name:LAU
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:SHERRI
Other - Middle Name:ANN
Other - Last Name:SUBSITS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1431 N CLAREMONT AVE
Mailing Address - Street 2:PAVILION, 2ND FLOOR
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-1702
Mailing Address - Country:US
Mailing Address - Phone:312-633-5872
Mailing Address - Fax:312-491-5453
Practice Address - Street 1:1431 N CLAREMONT AVE
Practice Address - Street 2:PAVILION, 2ND FLOOR
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-1702
Practice Address - Country:US
Practice Address - Phone:312-633-5872
Practice Address - Fax:312-491-5453
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490099221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical