Provider Demographics
NPI:1043226624
Name:MYERS, JANET N (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:N
Last Name:MYERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 N RIVERSIDE DR
Mailing Address - Street 2:SUITE 208
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-5918
Mailing Address - Country:US
Mailing Address - Phone:847-263-1269
Mailing Address - Fax:847-263-1310
Practice Address - Street 1:333 COMMERCE DR
Practice Address - Street 2:SUITE 275
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-3539
Practice Address - Country:US
Practice Address - Phone:847-263-1269
Practice Address - Fax:847-263-1310
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical