MR. JOHN MYRON NETHERLY MSW NPI 1588936843

NPI Information

  • NPI: 1588936843
  • Provider Name: MR. JOHN MYRON NETHERLY, MSW
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • Address: 1414 MAIN ST
    MELROSE PARK, IL
    ZIP 60160
  • Phone: (708) 715-8109

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NPI Details

MR. John Myron Netherly, MSW is a social worker in Melrose Park, IL. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. MR. John Myron Netherly, MSW NPI is 1588936843. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1414 MAIN ST
MELROSE PARK, IL
ZIP 60160-902
Phone: (708) 715-8109

The enumeration date for this NPI number is 2/2/2012 and was last updated on 2/2/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial Worker36-2709982ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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