Provider Demographics
NPI:1124343991
Name:HEALY, ANN BRIDGET (LCSW)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:BRIDGET
Last Name:HEALY
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 1:682 W BOUGHTON RD
Mailing Address - Street 2:UNIT D
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-5700
Mailing Address - Country:US
Mailing Address - Phone:630-771-0144
Mailing Address - Fax:630-771-9520
Practice Address - Street 1:682 W BOUGHTON RD
Practice Address - Street 2:UNIT D
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-5700
Practice Address - Country:US
Practice Address - Phone:630-771-0144
Practice Address - Fax:630-771-9520
Is Sole Proprietor?:No
Enumeration Date:2010-04-05
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0120591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical