Provider Demographics
NPI:1215550587
Name:NOKES, ANNA NICOLE (LCSW)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:NICOLE
Last Name:NOKES
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4128 W SCHOOL ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-4643
Mailing Address - Country:US
Mailing Address - Phone:847-769-5334
Mailing Address - Fax:
Practice Address - Street 1:2334 W LAWRENCE AVE STE 206
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-1042
Practice Address - Country:US
Practice Address - Phone:847-769-5334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-21
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490244171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical