Healthcare Provider Details

I. General information

NPI: 1356468771
Provider Name (Legal Business Name): DEBRA K.HIRSCHBERG AND ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 HERITAGE DR # 1
CRYSTAL LAKE IL
60014-8068
US

IV. Provider business mailing address

109 HILL AVE
ELGIN IL
60120-4412
US

V. Phone/Fax

Practice location:
  • Phone: 847-612-4309
  • Fax:
Mailing address:
  • Phone: 847-695-8010
  • Fax: 847-695-8010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DEBRA K. HIRSCHBERG
Title or Position: CLINICAL DIRECTOR
Credential: LCSW
Phone: 847-695-8010