Provider Demographics
NPI:1770707507
Name:MEYER, STEVEN C (LCSW)
Entity type:Individual
Prefix:MISS
First Name:STEVEN
Middle Name:C
Last Name:MEYER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 LAKE ST
Mailing Address - Street 2:SUITE #302
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60301-1049
Mailing Address - Country:US
Mailing Address - Phone:708-848-5599
Mailing Address - Fax:
Practice Address - Street 1:1140 LAKE ST
Practice Address - Street 2:SUITE #302
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301-1049
Practice Address - Country:US
Practice Address - Phone:708-848-5599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical