Doctor Name: | MRS. ERIN JOAN CLUTS |
NPI Number: | 1104077189 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | 149008685 |
Business Practice Address: | 451 Dunham Rd Suite 400 St Charles, IL - 601741431 |
Business Phone Number: | 6304441801 |
Business Fax Number: | 6304440494 |
Mailing Address: | 1516 Legacy Cir, Suite 108 NAPERVILLE |
State: | IL |
Postal Code: | 605631257 |
Phone Number: | 6303558410 |
Fax Number: | 6303558412 |
NPI Enumeration Date: | 10/08/2008 |
NPI Last Update Date: | 05/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149008685 |
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 |