Provider Demographics
NPI:1194589499
Name:SHINN, LILY (MS, MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:LILY
Middle Name:
Last Name:SHINN
Suffix:
Gender:F
Credentials:MS, MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15154 W GLEN VIEW CT
Mailing Address - Street 2:
Mailing Address - City:HOMER GLEN
Mailing Address - State:IL
Mailing Address - Zip Code:60491-8744
Mailing Address - Country:US
Mailing Address - Phone:815-690-7012
Mailing Address - Fax:
Practice Address - Street 1:15154 W GLEN VIEW CT
Practice Address - Street 2:
Practice Address - City:HOMER GLEN
Practice Address - State:IL
Practice Address - Zip Code:60491-8744
Practice Address - Country:US
Practice Address - Phone:815-690-7012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490079141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical