Provider Demographics
NPI:1447355912
Name:MCLAUGHLIN, MARYBETH (LCSW)
Entity type:Individual
Prefix:
First Name:MARYBETH
Middle Name:
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 IROQUOIS AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-8559
Mailing Address - Country:US
Mailing Address - Phone:630-305-0464
Mailing Address - Fax:630-305-0211
Practice Address - Street 1:1300 IROQUOIS AVE STE 145
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-1389
Practice Address - Country:US
Practice Address - Phone:630-305-0464
Practice Address - Fax:630-305-0211
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0028151041C0700X
IL149-0028151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL02271467OtherBCBS PROVIDER #
IL02271467OtherBCBS PROVIDER #