Provider Demographics
NPI:1578820957
Name:DADZIE, IONA (LCSW)
Entity type:Individual
Prefix:
First Name:IONA
Middle Name:
Last Name:DADZIE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:IONA
Other - Middle Name:
Other - Last Name:REDMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2816 188TH ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:IL
Mailing Address - Zip Code:60438-3402
Mailing Address - Country:US
Mailing Address - Phone:773-454-8612
Mailing Address - Fax:773-454-8612
Practice Address - Street 1:2816 188TH ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:IL
Practice Address - Zip Code:60438-3402
Practice Address - Country:US
Practice Address - Phone:773-454-8612
Practice Address - Fax:773-454-8612
Is Sole Proprietor?:No
Enumeration Date:2012-04-23
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
IL1490233871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1578820957Medicaid