Mary Anastasi, LCSW, PhD
Social Worker, Clinical in Park Ridge, IL. Individual provider (NPI-1).
NPI number1104194802
StatusActive
Last updated in NPPESDec 8, 2011
Details
- NPI
- 1104194802
- Entity type
- Individual (NPI-1)
- Name
- Mary Anastasi
- Credential
- LCSW, PhD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 8, 2011
- Last updated
- Dec 8, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149009586 | IL | Yes |
Other names
- Mary Margaret McGrath (Former Name)
Practice location
36 Main StPark Ridge, IL 60068-4059
Phone 512-788-3837
Mailing address
200 Lawndale StWilmette, IL 60091-3213
Phone 847-728-0822
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