Healthcare Provider Details

I. General information

NPI: 1033802897
Provider Name (Legal Business Name): SYLVIA JANE MCGUIRE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SYLVIA JANE WHITE LCSW

II. Dates (important events)

Enumeration Date: 05/30/2023
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1634 W SMITH VALLEY RD STE A
GREENWOOD IN
46142-1550
US

IV. Provider business mailing address

847 LEATHERWOOD DR
GREENWOOD IN
46143-3035
US

V. Phone/Fax

Practice location:
  • Phone: 317-210-3737
  • Fax:
Mailing address:
  • Phone: 317-840-5669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34011654A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: