Provider Demographics
NPI:1841371358
Name:BAYER, NAOMI LYNN (LCSW)
Entity type:Individual
Prefix:MS
First Name:NAOMI
Middle Name:LYNN
Last Name:BAYER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 GREENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-1438
Mailing Address - Country:US
Mailing Address - Phone:847-677-6740
Mailing Address - Fax:847-677-8140
Practice Address - Street 1:64 OLD ORCHARD CENTER
Practice Address - Street 2:SUITE 435
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077
Practice Address - Country:US
Practice Address - Phone:847-677-6740
Practice Address - Fax:847-677-8140
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
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
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL212224Medicare ID - Type Unspecified