Provider Demographics
NPI:1982065637
Name:GRONER, ARIEL (LCSW)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:
Last Name:GRONER
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 1:102 W PICKWICK RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-3755
Mailing Address - Country:US
Mailing Address - Phone:224-622-0872
Mailing Address - Fax:
Practice Address - Street 1:1440 RENAISSANCE DR
Practice Address - Street 2:SUITE 320
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-1356
Practice Address - Country:US
Practice Address - Phone:847-759-9110
Practice Address - Fax:847-759-9440
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-09
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150101427104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker