Doctor Name: | GERALDINE COOPER KRASNER |
NPI Number: | 1043314495 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 5225 Old Orchard Rd. Suite 1 Skokie, IL - 600771027 |
Business Phone Number: | 8479658155 |
Business Fax Number: | 8472569440 |
Mailing Address: | 5225 Old Orchard Rd., Suite 1 SKOKIE |
State: | IL |
Postal Code: | 600771027 |
Phone Number: | 8479658155 |
Fax Number: | 8472569440 |
NPI Enumeration Date: | 09/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |