Provider Demographics
NPI:1932337409
Name:HARTING, JAMES JOSEPH (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:JOSEPH
Last Name:HARTING
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4972 BENCHMARK CENTRE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SWANSEA
Mailing Address - State:IL
Mailing Address - Zip Code:62226-2070
Mailing Address - Country:US
Mailing Address - Phone:618-632-3145
Mailing Address - Fax:618-206-2492
Practice Address - Street 1:4972 BENCHMARK CENTRE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:SWANSEA
Practice Address - State:IL
Practice Address - Zip Code:62226-2070
Practice Address - Country:US
Practice Address - Phone:618-632-3145
Practice Address - Fax:618-206-2492
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0050661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical