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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MARANDA ANNE STACHYRA, MSW, LCSW

Active Sole Proprietor

MRS. MARANDA ANNE STACHYRA, MSW, LCSW is a Clinical Social Worker healthcare provider located in MT. VERNON, Illinois. NPI 1831392570 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · MT. VERNON, IL

Registration Details

NPI Number
1831392570
Provider Type
Individual
Gender
Female
NPI Issued
Jun 8, 2007 (19.159828720044 yrs)
Last Updated
May 7, 2019
License
149.010480 (IL)
Sole Proprietor
Yes

Practice Information

Address
3600 SOUTH WATER TOWER PLACE
MT. VERNON, IL, 62864
Browse IL providers · Browse ZIP 62864
Phone
6182440212
Fax
6182440535
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in MT. VERNON, IL

Name Credential NPI
MR. REGINA ANN THOMPSON LCSW 1174739395
MERENDA L DALE LCSW 1518177922
MRS. CHRISTINA ELIZABETH LIPE LCSW 1902789761
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.