Provider Demographics
NPI:1932812278
Name:MILLER-PETERS, TOYIA ARNETTA (LCSW)
Entity Type:Individual
Prefix:
First Name:TOYIA
Middle Name:ARNETTA
Last Name:MILLER-PETERS
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 1:3643 W DEER PARK DR
Mailing Address - Street 2:
Mailing Address - City:ALSIP
Mailing Address - State:IL
Mailing Address - Zip Code:60803-1085
Mailing Address - Country:US
Mailing Address - Phone:773-412-6996
Mailing Address - Fax:
Practice Address - Street 1:3643 W DEER PARK DR
Practice Address - Street 2:
Practice Address - City:ALSIP
Practice Address - State:IL
Practice Address - Zip Code:60803-1085
Practice Address - Country:US
Practice Address - Phone:708-824-7225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-02
Last Update Date:2023-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0118931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical