Healthcare Provider Details

I. General information

NPI: 1114555943
Provider Name (Legal Business Name): KATHLEEN MCHUGH AKBAR LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2020
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2033 BIRCHWOOD AVE
WILMETTE IL
60091-2380
US

IV. Provider business mailing address

2033 BIRCHWOOD AVE
WILMETTE IL
60091-2380
US

V. Phone/Fax

Practice location:
  • Phone: 201-228-0227
  • Fax:
Mailing address:
  • Phone: 847-452-6184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number81768
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number14924930
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05913900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: