Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Mary Anastasia, LSW

Individual provider Social Worker · NPI 1164146858

Miss. Mary Anastasia, LSW is a Social Worker in Mahomet, Illinois. Licensed in Illinois. Registered with an NPI since 2022.

Licensed in
IL
In the registry since
2022
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

See every abbreviation used in this directory →

Practice location Address checks out

1204 E Oak St Ste 2-2
Mahomet, IL 61853-2795
Phone: (217) 530-5608
Fax: (309) 981-8714
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 150108984 (IL)

Record details

NPI number1164146858
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorNo
NPI enumeratedSeptember 27, 2022
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 27, 2022

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