Provider Demographics
NPI:1912428285
Name:SIENKIEWICZ, ANNAMARIE (LCPC)
Entity type:Individual
Prefix:MS
First Name:ANNAMARIE
Middle Name:
Last Name:SIENKIEWICZ
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:ANNAMARIE
Other - Middle Name:
Other - Last Name:SAVIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:8970 N PARKSIDE AVE APT 314
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-5513
Mailing Address - Country:US
Mailing Address - Phone:708-589-5046
Mailing Address - Fax:
Practice Address - Street 1:1952 MC DOWELL RD STE 305
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-6507
Practice Address - Country:US
Practice Address - Phone:630-689-1022
Practice Address - Fax:630-689-1023
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
IL180016024101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor