Doctor Name: | ROBYN MICHELLE WELK |
NPI Number: | 1063665776 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, MSW |
License Number: | 149.011933 |
Business Practice Address: | 900 N Shore Dr Suite 120 Lake Bluff, IL - 600442243 |
Business Phone Number: | 8476151698 |
Business Fax Number: | 8476151697 |
Mailing Address: | 900 N Shore Dr, Suite 120 LAKE BLUFF |
State: | IL |
Postal Code: | 600442243 |
Phone Number: | 8476151698 |
Fax Number: | 8476151697 |
NPI Enumeration Date: | 10/25/2008 |
NPI Last Update Date: | 10/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149.011933 |
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 |