Provider Demographics
NPI:1023405776
Name:MURPHY, SYLVIA ANA (LCSW, MA)
Entity type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:ANA
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LCSW, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 W PIONEER PKWY
Mailing Address - Street 2:SUITE 3
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61615-1835
Mailing Address - Country:US
Mailing Address - Phone:309-402-0666
Mailing Address - Fax:309-402-0563
Practice Address - Street 1:2000 W PIONEER PKWY
Practice Address - Street 2:SUITE 3
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61615-1835
Practice Address - Country:US
Practice Address - Phone:309-402-0666
Practice Address - Fax:309-402-0563
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-21
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490169091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical