Provider Demographics
NPI:1346819836
Name:YERGER, JOEY (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:JOEY
Middle Name:
Last Name:YERGER
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 S 5TH AVE BLDG 4
Mailing Address - Street 2:
Mailing Address - City:HINES
Mailing Address - State:IL
Mailing Address - Zip Code:60141-3030
Mailing Address - Country:US
Mailing Address - Phone:708-202-5395
Mailing Address - Fax:708-202-3763
Practice Address - Street 1:5000 S 5TH AVE BLDG 4
Practice Address - Street 2:
Practice Address - City:HINES
Practice Address - State:IL
Practice Address - Zip Code:60141-3030
Practice Address - Country:US
Practice Address - Phone:708-202-5395
Practice Address - Fax:708-202-3763
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-21
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical