Healthcare Provider Details

I. General information

NPI: 1831198001
Provider Name (Legal Business Name): DEAN M GRIFFIN LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 BARCLAY BLVD STE 180
LINCOLNSHIRE IL
60069-3615
US

IV. Provider business mailing address

111 BARCLAY BLVD STE 180
LINCOLNSHIRE IL
60069-3615
US

V. Phone/Fax

Practice location:
  • Phone: 847-748-2019
  • Fax:
Mailing address:
  • Phone: 847-748-2019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149008747
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: