Provider Demographics
NPI:1659444354
Name:WARD, MARCIA M (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARCIA
Middle Name:M
Last Name:WARD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3285 N ARLINGTON HEIGHTS RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-1564
Mailing Address - Country:US
Mailing Address - Phone:847-577-1501
Mailing Address - Fax:847-577-3858
Practice Address - Street 1:1525 E 53RD ST
Practice Address - Street 2:SUITE 516 OFFICE 7
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615-4557
Practice Address - Country:US
Practice Address - Phone:847-577-1501
Practice Address - Fax:847-577-3858
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490036541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical