Johanna Sonnenfeld Lenneberg | Chicago, IL • PECOS Search

Johanna Sonnenfeld Lenneberg

Social Worker

Behavioral Health & Social Service Providers

2400 N Lakeview Ave, #3006, Chicago, IL 60614-2747

PECOS Enrollment

Based on the most recent information from CMS, provider Johanna Sonnenfeld Lenneberg does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1396949897
Provider Type
Individual
Full Name
Lenneberg, Johanna Sonnenfeld
Title
Ms.
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/11/2007
Last Updated
7/8/2007

Contact Information

Practice Location

2400 N Lakeview Ave, #3006, Chicago, IL 60614-2747

Unlisted Fax

Mailing Location

2400 N Lakeview Ave, #3006, Chicago, IL 60614-2747

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer Illinois