Provider Demographics
NPI:1386321578
Name:HANCOCK, TARYN B (MSW, LSW)
Entity type:Individual
Prefix:
First Name:TARYN
Middle Name:B
Last Name:HANCOCK
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2815 FORBS AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-3731
Mailing Address - Country:US
Mailing Address - Phone:847-986-8010
Mailing Address - Fax:847-986-8106
Practice Address - Street 1:2815 FORBS AVE STE 107
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60192-3731
Practice Address - Country:US
Practice Address - Phone:847-986-8010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-29
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150110857104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker