Healthcare Provider Details

I. General information

NPI: 1285267799
Provider Name (Legal Business Name): LAWANDA RESHAWNA MCGEE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: WANDA MCGEE LCSW

II. Dates (important events)

Enumeration Date: 02/13/2020
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1802 FOX DR STE D
CHAMPAIGN IL
61820-7280
US

IV. Provider business mailing address

1802 FOX DR STE D
CHAMPAIGN IL
61820-7280
US

V. Phone/Fax

Practice location:
  • Phone: 217-418-3730
  • Fax:
Mailing address:
  • Phone: 217-418-3730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.019987
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: