Provider Demographics
NPI:1326848581
Name:MASINI, STEPHANIE (LSW, PEL)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:MASINI
Suffix:
Gender:
Credentials:LSW, PEL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 E HIAWATHA TRL
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-3960
Mailing Address - Country:US
Mailing Address - Phone:847-609-1263
Mailing Address - Fax:
Practice Address - Street 1:303 E HIAWATHA TRL
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-3960
Practice Address - Country:US
Practice Address - Phone:847-609-1263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150116204104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker