Provider Demographics
NPI:1881260222
Name:BILLMAN, COURTNEY ANN (LCSW)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:ANN
Last Name:BILLMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:ANN
Other - Last Name:TITO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26W539 BLAIR ST
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60190-1156
Mailing Address - Country:US
Mailing Address - Phone:630-808-9160
Mailing Address - Fax:
Practice Address - Street 1:115 S VINE ST
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-4083
Practice Address - Country:US
Practice Address - Phone:630-563-0044
Practice Address - Fax:630-914-6054
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490227081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical