Michele Renee Ward-Illich, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW124323 Issued in PA

Practice address

1140 McDermott Dr
Suite 100-101
West Chester, PA 19380-4043

Phone

(610) 430-6572

NPI assigned

Jun 16, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Michele Renee Ward Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1417184581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E LANCASTER AVE",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193352723",
            "telephone_number": "610-430-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 MCDERMOTT DR",
            "address_2": "SUITE 100-101",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804043",
            "telephone_number": "610-430-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD-ILLICH",
        "first_name": "MICHELE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW124323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "WARD",
            "middle_name": "RENEE",
            "prefix": "MISS",
            "credential": "MSW, LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Walsh
• Jessica S Walter, SLP
• Matthew Ivin Walton, PA-C
• John K Wang, MD
• Michael Wapner, DPT
• James David Ward, M.D.
• Michael Joseph Ward Jr., MD
• Michelle Ward, PAC
• Nan Ward, CRNA
• Rebecca H Ward, MD

• Social Worker in West Chester, PA
• Providers in West Chester, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.