Individual provider Active NPI

Margaret Ann Howard, LCSW

  • Clinical Social Worker
  • Du Quoin, IL
National Provider Identifier
1194064774
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149021153 Issued in IL
Practice address
1564 S Washington St
Du Quoin, IL 62832-3849
Phone
(618) 542-8702
NPI assigned
Feb 3, 2013
Last updated
Nov 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2012015417MOMDSocial Worker
149021153ILMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1194064774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5232 DAGGETT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631103026",
            "telephone_number": "314-225-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1564 S WASHINGTON ST",
            "city": "DU QUOIN",
            "state": "IL",
            "postal_code": "628323849",
            "telephone_number": "618-542-8702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5232 Daggett Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631103026",
            "country_code": "US",
            "telephone_number": "314-225-6128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "MARGARET",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-03",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2012015417",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149021153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Quoin, IL

Sources for this page

Verify at the official NPI Registry.