Provider Demographics
NPI:1356863369
Name:GILBERT, MEG RYAN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MEG
Middle Name:RYAN
Last Name:GILBERT
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 1:837 W JUNIOR TER
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-1607
Mailing Address - Country:US
Mailing Address - Phone:312-342-0871
Mailing Address - Fax:
Practice Address - Street 1:721 N. LASALLE STREET
Practice Address - Street 2:C/O CATHOLIC CHARITIES LOSS PROGRAM
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60654-6065
Practice Address - Country:US
Practice Address - Phone:312-655-7285
Practice Address - Fax:312-655-7285
Is Sole Proprietor?:No
Enumeration Date:2017-07-11
Last Update Date:2017-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0098141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical