Provider Demographics
NPI:1457949984
Name:STERNECKY, DEBORAH (LSW)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:STERNECKY
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1580 SHERMAN AVE APT 1204
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-4494
Mailing Address - Country:US
Mailing Address - Phone:630-885-0308
Mailing Address - Fax:
Practice Address - Street 1:992 1/2 GREEN BAY RD
Practice Address - Street 2:
Practice Address - City:WINNETKA
Practice Address - State:IL
Practice Address - Zip Code:60093-1722
Practice Address - Country:US
Practice Address - Phone:847-446-8060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-10
Last Update Date:2024-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI131987-121104100000X
IL150.104773104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker