MS. MERLE A. PREMACK MSW, LCSW, BCD NPI 1003871542

Social Worker (Clinical) in Lindenhurst, IL

About MERLE PREMACK

Merle Premack is a provider in Lindenhurst, IL. The NPI number assigned to this provider is 1003871542. The practitioner's primary taxonomy code is Social Worker (1041C0700X). The provider is registered as an individual and their NPI record was last updated 10 years ago.

NPI1003871542 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMS. MERLE A. PREMACK MSW, LCSW, BCD
Provider Location Address2031 E GRAND AVE SUITE # 300 LINDENHURST, IL 60046 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address2031 E GRAND AVE SUITE # 300 LINDENHURST, IL 60046 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-18-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-08-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MS. MERLE A. PREMACK MSW, LCSW, BCD
2031 E GRAND AVE
SUITE # 300
LINDENHURST, IL
ZIP 60046
Phone: (847) 778-3575
Fax: (847) 676-9979
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Mailing Address

MS. MERLE A. PREMACK MSW, LCSW, BCD
2031 E GRAND AVE
SUITE # 300
LINDENHURST, IL
ZIP 60046
Phone: (847) 778-3575
Fax: (847) 676-9979

Primary Taxonomy

Taxonomy Code1041C0700X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationSocial Worker
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License StateIL
Taxonomy DescriptionA social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Map Location


MS. MERLE A. PREMACK MSW, LCSW, BCD address is 2031 E GRAND AVE SUITE # 300 LINDENHURST, IL 60046

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003160243 GRACE ANN KAO M.D.
Individual
Pediatrics2031 E GRAND AVE #200
LINDENHURST, IL 60046
(847) 356-5575
1114161155AMG ILLINOIS LTD
Organization
Durable Medical Equipment & Medical Supplies2031 E GRAND AVE SUITE 200
LINDENHURST, IL 60046
(847) 356-5575
1457348187 ASHOK B PHADKE M.D.
Individual
Pediatrics2031 E GRAND AVE SUITE 200
LINDENHURST, IL 60046
(847) 356-5575
1598743171DR. SUZANNE M FRINGS-RAFTERY PHD
Individual
Psychologist (Clinical)2031 E GRAND AVE SUITE 300
LINDENHURST, IL 60046
(847) 356-7333
1699762328 RENUKA N DESAI M.D.
Individual
Pediatrics2031 E GRAND AVE
LINDENHURST, IL 60046
(847) 356-5575