Provider Demographics
NPI:1285267799
Name:MCGEE, LAWANDA RESHAWNA (LCSW)
Entity type:Individual
Prefix:
First Name:LAWANDA
Middle Name:RESHAWNA
Last Name:MCGEE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:WANDA
Other - Middle Name:
Other - Last Name:MCGEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1214 EUREKA ST
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:IL
Mailing Address - Zip Code:61801-1321
Mailing Address - Country:US
Mailing Address - Phone:217-418-3730
Mailing Address - Fax:
Practice Address - Street 1:1214 EUREKA ST
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:IL
Practice Address - Zip Code:61801-1321
Practice Address - Country:US
Practice Address - Phone:217-418-3730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-13
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0199871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical