Margaret Ann Howard, LCSW

Individual provider Active NPI Clinical Social Worker · Du Quoin, IL

NPI 1194064774 · NPPES record last updated Nov 26, 2019

Key facts

NPI
1194064774
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
149021153 (IL)
Practice address
1564 S Washington St
Du Quoin, IL 62832-3849
Phone
(618) 542-8702
NPI assigned
Feb 3, 2013
Sex
Female
Sole proprietor
Yes

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carbondale, IL 62901
Phone (314) 225-6128

507 S Eason Dr
Carbondale, IL 62901-2329

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190626001031 IL Practitioner - Clinical Social Worker 6204160146 Practice locations: Carbondale, IL

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2012015417MOMDSocial Worker
149021153ILMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2012015417 MO
Clinical Social Worker 1041C0700X 149021153 IL Yes

Addresses

Primary practice location

1564 S Washington St
Du Quoin, IL 62832-3849

Mailing address

5232 Daggett Ave
Saint Louis, MO 63110-3026
Phone (314) 225-6128

Other practice location 1

5232 Daggett Ave
Saint Louis, MO 63110-3026
Phone (314) 225-6128

Other identifiers

IdentifierTypeStateIssuer
1041C0700XOtherMOCLINICAL

Other providers in Du Quoin, IL

All providers in Du Quoin, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.