Provider Demographics
NPI:1972651479
Name:EGGER, NANCY S (LCSW)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:S
Last Name:EGGER
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 1:2500 N MAIN ST STE 2A
Mailing Address - Street 2:
Mailing Address - City:EAST PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61611-1780
Mailing Address - Country:US
Mailing Address - Phone:309-282-2372
Mailing Address - Fax:309-282-2373
Practice Address - Street 1:2500 N MAIN ST STE 2A
Practice Address - Street 2:
Practice Address - City:EAST PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61611-1780
Practice Address - Country:US
Practice Address - Phone:309-282-2372
Practice Address - Fax:309-282-2373
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical