Provider Demographics
NPI:1992929608
Name:SOTERAS, DIANE BERLINGER (LCSW)
Entity type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:BERLINGER
Last Name:SOTERAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 N ARLINGTON HEIGHTS RD STE 105
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-8215
Mailing Address - Country:US
Mailing Address - Phone:224-522-0639
Mailing Address - Fax:
Practice Address - Street 1:135 N ARLINGTON HEIGHTS RD STE 105
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-8215
Practice Address - Country:US
Practice Address - Phone:224-522-0639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490057271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical