Active NPI
Marsonne Denise Myers, LCSW, CADC
- Clinical Social Worker
- Wheaton, IL
National Provider Identifier
1306137039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.014635
- Practice address
- 1725 S Naperville Rd
Ste 206
Wheaton, IL 60189-5855 - Phone
- (630) 653-6441
- Fax
- (630) 653-8409
- NPI assigned
- Apr 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.014635 | IL | Primary |
Addresses
Primary practice location
1725 S Naperville Rd
Ste 206
Wheaton, IL 60189-5855
Mailing address
121 N Cross St
Unit 534
Wheaton, IL 60187-5368
Phone (630) 723-1762
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.014635 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460505600000",
"number": "1306137039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 N CROSS ST",
"address_2": "UNIT 534",
"city": "WHEATON",
"state": "IL",
"postal_code": "601875368",
"telephone_number": "630-723-1762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 S NAPERVILLE RD",
"address_2": "STE 206",
"city": "WHEATON",
"state": "IL",
"postal_code": "601895855",
"telephone_number": "630-653-6441",
"fax_number": "630-653-8409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "MARSONNE",
"middle_name": "DENISE",
"credential": "LCSW, CADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-28",
"last_updated": "2016-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.014635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.