Healthcare Provider Details

I. General information

NPI: 1861936411
Provider Name (Legal Business Name): ELAINE SCHLORFF LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2016
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 BURKWOOD CT W
URBANA IL
61801-5937
US

IV. Provider business mailing address

408 BURKWOOD CT W 408 BURKWOOD CT W
URBANA IL
61801-5937
US

V. Phone/Fax

Practice location:
  • Phone: 217-249-3517
  • Fax: 217-771-1719
Mailing address:
  • Phone: 217-249-3517
  • Fax: 217-771-1719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.027280
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: