Provider Demographics
NPI:1558407403
Name:CRICK, MARY (LCSW, CSADC, PCGC)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:CRICK
Suffix:
Gender:F
Credentials:LCSW, CSADC, PCGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 PHEASANT TRL
Mailing Address - Street 2:
Mailing Address - City:LAKE IN THE HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60156-1357
Mailing Address - Country:US
Mailing Address - Phone:847-791-4384
Mailing Address - Fax:847-426-5384
Practice Address - Street 1:737 SOUTH 8TH STREET
Practice Address - Street 2:CENTURY PLAZA
Practice Address - City:WEST DUNDEE
Practice Address - State:IL
Practice Address - Zip Code:60118
Practice Address - Country:US
Practice Address - Phone:847-791-4384
Practice Address - Fax:847-426-5384
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL12267101YA0400X
ILA-5029-0006-A101YA0400X
IL149.276441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)