Shaw, Marcia

Shaw, Marcia is an individual health care provider with primary practice located at 210 N Longwood St , Rockford IL 61107-4134. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shaw, Marcia can be contacted via phone (815) 962-5585.

Contact Information

Primary practice address
210 N Longwood St Rockford IL 61107-4134
Phone: (815) 962-5585
Fax: (815) 962-8945
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1790846368
LBN Legal business name Shaw, Marcia
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers