Healthcare Provider Details

I. General information

NPI: 1164799359
Provider Name (Legal Business Name): ANGELIKA DANEK LCSW, CRADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2011
Last Update Date: 09/11/2023
Certification Date: 09/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6650 N NORTHWEST HWY
CHICAGO IL
60631-1307
US

IV. Provider business mailing address

326 ELK BLVD
DES PLAINES IL
60016-3506
US

V. Phone/Fax

Practice location:
  • Phone: 773-392-9103
  • Fax:
Mailing address:
  • Phone: 773-392-9103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number22119
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.014886
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: