Individual
ALEXIS MCGOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 N FAIRWAY DR STE 208, VERNON HILLS, IL 60061-1803
(847) 996-6666
(847) 996-6665
Mailing address
200 N FAIRWAY DR STE 208, VERNON HILLS, IL 60061-1803
(847) 996-6666
(847) 996-6665
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150.109325
IL
104100000X
Social Worker
S.1800534-TRNE
OH
104100000X
Social Worker
S.1803056
OH
1041C0700X
Clinical Social Worker
Primary
149.027486
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083199186
—
OH
Enumeration date
09/25/2018
Last updated
08/27/2024
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