Provider Demographics
NPI:1235253279
Name:HARMON, MARGARET L (SOCIAL WORK LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:L
Last Name:HARMON
Suffix:
Gender:F
Credentials:SOCIAL WORK LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 S FAIRFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-2828
Mailing Address - Country:US
Mailing Address - Phone:630-627-2573
Mailing Address - Fax:
Practice Address - Street 1:540 S FAIRFIELD AVE
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-2828
Practice Address - Country:US
Practice Address - Phone:630-627-2573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL154419OtherVALUE OPTIONS
IL02232318OtherBCBS