Provider Demographics
NPI:1932345493
Name:KRIEGER, ADAM JOSHUA (MA, LCSW)
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:JOSHUA
Last Name:KRIEGER
Suffix:
Gender:M
Credentials:MA, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36732 N ELIZABETH DR
Mailing Address - Street 2:
Mailing Address - City:LAKE VILLA
Mailing Address - State:IL
Mailing Address - Zip Code:60046-9411
Mailing Address - Country:US
Mailing Address - Phone:847-265-5238
Mailing Address - Fax:
Practice Address - Street 1:36732 N ELIZABETH DR
Practice Address - Street 2:
Practice Address - City:LAKE VILLA
Practice Address - State:IL
Practice Address - Zip Code:60046-9411
Practice Address - Country:US
Practice Address - Phone:847-265-5238
Practice Address - Fax:847-244-0867
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-05
Last Update Date:2021-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0075191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical