Provider Demographics
NPI:1336235829
Name:HANRAHAN, SHEILA DAWN (MSW LCPC)
Entity type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:DAWN
Last Name:HANRAHAN
Suffix:
Gender:F
Credentials:MSW LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5412 N CLARK ST SUITE 201
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-1272
Mailing Address - Country:US
Mailing Address - Phone:773-275-3300
Mailing Address - Fax:
Practice Address - Street 1:5412 N CLARK ST SUITE 201
Practice Address - Street 2:SUITE 201
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-1272
Practice Address - Country:US
Practice Address - Phone:773-275-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial Worker