Provider Demographics
NPI:1043511264
Name:ELSHAER, ALIA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ALIA
Middle Name:
Last Name:ELSHAER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ALIA
Other - Middle Name:
Other - Last Name:CELEBI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1510 CLAYTON MARSH DR
Mailing Address - Street 2:
Mailing Address - City:LAKE IN THE HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60156-1034
Mailing Address - Country:US
Mailing Address - Phone:708-203-0202
Mailing Address - Fax:
Practice Address - Street 1:1510 CLAYTON MARSH DR
Practice Address - Street 2:
Practice Address - City:LAKE IN THE HILLS
Practice Address - State:IL
Practice Address - Zip Code:60156-1034
Practice Address - Country:US
Practice Address - Phone:708-203-0202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-04
Last Update Date:2024-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.014561041C0700X
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL541946Medicaid