Provider Demographics
NPI:1811650765
Name:STRINE, ZECHARIAH KAINE (LSW)
Entity type:Individual
Prefix:
First Name:ZECHARIAH
Middle Name:KAINE
Last Name:STRINE
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:ZAK
Other - Middle Name:
Other - Last Name:STRINE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2211B LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:BANNOCKBURN
Mailing Address - State:IL
Mailing Address - Zip Code:60015-1265
Mailing Address - Country:US
Mailing Address - Phone:847-217-9381
Mailing Address - Fax:
Practice Address - Street 1:2211B LAKESIDE DR
Practice Address - Street 2:
Practice Address - City:BANNOCKBURN
Practice Address - State:IL
Practice Address - Zip Code:60015-1265
Practice Address - Country:US
Practice Address - Phone:847-217-9381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-18
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.1053481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical