Provider Demographics
NPI:1598894453
Name:MYERS, MARGARET H (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:H
Last Name:MYERS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:IL
Mailing Address - Zip Code:61081-3755
Mailing Address - Country:US
Mailing Address - Phone:815-626-8760
Mailing Address - Fax:
Practice Address - Street 1:302 E 5TH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:STERLING
Practice Address - State:IL
Practice Address - Zip Code:61081-3755
Practice Address - Country:US
Practice Address - Phone:815-626-8760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical