Provider Demographics
NPI:1932428729
Name:LAMMERS, ELLENE G (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ELLENE
Middle Name:G
Last Name:LAMMERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:ELLENE
Other - Middle Name:G
Other - Last Name:HILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:977 LAKEVIEW PKWY
Mailing Address - Street 2:102
Mailing Address - City:VERNON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60061-1400
Mailing Address - Country:US
Mailing Address - Phone:847-549-1023
Mailing Address - Fax:847-549-1028
Practice Address - Street 1:977 LAKEVIEW PKWY
Practice Address - Street 2:102
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061-1400
Practice Address - Country:US
Practice Address - Phone:847-549-1023
Practice Address - Fax:847-549-1028
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0003691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical