Talitha R Myers, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.021005 Issued in IL

Practice address

223 N Park Ave
Herrin, IL 62948-3149

Phone

(618) 706-9050

Fax

(618) 706-2140

NPI assigned

Oct 21, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681516800000",
    "number": "1902449218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 MASSEY RD",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629303029",
            "telephone_number": "618-364-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N PARK AVE",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483149",
            "telephone_number": "618-706-9050",
            "fax_number": "618-706-2140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3410 Massey Rd",
            "address_purpose": "LOCATION",
            "city": "Eldorado",
            "state": "IL",
            "postal_code": "629303029",
            "country_code": "US",
            "telephone_number": "618-364-7743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "TALITHA",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2023-04-15",
        "certification_date": "2023-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda D. Mulch, M.D.
• Javier Muniz, D.O.
• Mike Murphy, CCC/SLP
• Cora E. Musial, PHD,MD
• Varathaseelan Muthulingam, MD
• Taylor Anne Myers, RBT
• Abdelhameed Elsayed Abdelhameed Nawwar, MD
• Nelson F Gauto MD PC
• Neurology of Southern Illinois, LTD.
• New Way Developers, Inc.

• Clinical Social Worker in Herrin, IL
• Providers in Herrin, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2023; 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.