Provider Demographics
NPI:1033802897
Name:MCGUIRE, SYLVIA JANE (LSW)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:JANE
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:SYLVIA
Other - Middle Name:JANE
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:151 LOVE AVE APT J
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-2162
Mailing Address - Country:US
Mailing Address - Phone:317-840-5669
Mailing Address - Fax:
Practice Address - Street 1:1040 WISHARD BLVD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-2872
Practice Address - Country:US
Practice Address - Phone:317-963-4661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33011361A104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker