Provider Demographics
NPI:1861199937
Name:STEPHANIE WEILAND, LCSW
Entity type:Organization
Organization Name:STEPHANIE WEILAND, LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:THERESA
Authorized Official - Last Name:WEILAND
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:847-220-7149
Mailing Address - Street 1:9711 SKOKIE BLVD STE H
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-1384
Mailing Address - Country:US
Mailing Address - Phone:847-220-7149
Mailing Address - Fax:847-278-5419
Practice Address - Street 1:9711 SKOKIE BLVD STE H
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-1384
Practice Address - Country:US
Practice Address - Phone:847-220-7149
Practice Address - Fax:847-278-5419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-09
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty