Colette Marie Ahlberg, M.S.W.
Individual provider Active NPI Clinical Social Worker · Glenview, IL
NPI 1164510723 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164510723
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 3633 W Lake Ave
Suite 202 - S
Glenview, IL 60026-5805 - Phone
- (847) 729-1388
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149-003859 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | IL | Yes |
Addresses
Primary practice location
3633 W Lake Ave
Suite 202 - S
Glenview, IL 60026-5805
Mailing address
3633 W Lake Ave
Suite 202 - S
Glenview, IL 60026-5805
Phone (847) 729-1388
Other providers in Glenview, IL
- Ardeshir Afra
- Zahra Sara Afshari
- Azadeh Mary Afzali
- Thomas E Agan
- Mary Delanie Aguilar
- Rauqelle Ahlfeld
- Deepali Ahluwalia
- Maryam Ahmad
- May Ahn
- Tae-Jun Ahn
All providers in Glenview, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.