Provider Demographics
NPI:1316006497
Name:GIRMSCHEID, NANCY LYNN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:LYNN
Last Name:GIRMSCHEID
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:NANCY
Other - Middle Name:LYNN
Other - Last Name:WOODEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:373 ILLINI DRIVE
Mailing Address - Street 2:
Mailing Address - City:SPARLAND
Mailing Address - State:IL
Mailing Address - Zip Code:61565
Mailing Address - Country:US
Mailing Address - Phone:309-274-4995
Mailing Address - Fax:
Practice Address - Street 1:109 E EUREKA AVE
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:IL
Practice Address - Zip Code:61530-1239
Practice Address - Country:US
Practice Address - Phone:309-467-3770
Practice Address - Fax:309-467-5356
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
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