Provider Demographics
NPI:1447851241
Name:BEHRENS, COURTNEY A (LCSW)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:A
Last Name:BEHRENS
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 1:150 DEERPATH RD
Mailing Address - Street 2:
Mailing Address - City:ALGONQUIN
Mailing Address - State:IL
Mailing Address - Zip Code:60102-1861
Mailing Address - Country:US
Mailing Address - Phone:847-322-5977
Mailing Address - Fax:
Practice Address - Street 1:150 DEERPATH RD
Practice Address - Street 2:
Practice Address - City:ALGONQUIN
Practice Address - State:IL
Practice Address - Zip Code:60102-1861
Practice Address - Country:US
Practice Address - Phone:847-322-5977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-06
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0226441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical