Provider Demographics
NPI:1689181935
Name:HERR, MARGARET ROSE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:ROSE
Last Name:HERR
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 1:5228 WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-5230
Mailing Address - Country:US
Mailing Address - Phone:708-334-8445
Mailing Address - Fax:
Practice Address - Street 1:417 S JEFFERSON ST APT 109B
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-3828
Practice Address - Country:US
Practice Address - Phone:708-334-8445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-09
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0183401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical