Healthcare Provider Details

I. General information

NPI: 1932354362
Provider Name (Legal Business Name): DEBRA K. HIRSCHBERG L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/26/2008
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 HILL AVE
ELGIN IL
60120-4412
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: 847-705-3199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149005097
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: