John A. Mizer, LCSW

Individual provider Active NPI Clinical Social Worker · Sherman, IL

NPI 1881584084 · NPPES record last updated Jul 8, 2025

Key facts

NPI
1881584084
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
149.026794 (IL)
Practice address
42 Woods Mill Rd
Sherman, IL 62684-9707
Phone
(217) 891-7882
NPI assigned
Jul 8, 2025
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
149.026794ILMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X 149.026794 IL Yes

Addresses

Primary practice location

42 Woods Mill Rd
Sherman, IL 62684-9707

Mailing address

42 Woods Mill Rd
Sherman, IL 62684-9707
Phone (217) 891-7882

Other names

  • John A. Mizer Professional name

Other providers in Sherman, IL

All providers in Sherman, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.