Mr Michael John Trader, LCSW - Clinical Social Worker in Rockford, IL

Mr Michael John Trader, LCSW is a Social Worker - Clinical based in Rockford, Illinois. Mr Michael John Trader is licensed to practice in Illinois (license number ) and her current practice location is 129 Phelps Ave, Suite 818, Rockford, Illinois. She can be reached at her office (for appointments etc.) via phone at (815) 229-6316.

NPI number for Mr Michael John Trader is 1053474460 and her current mailing address is 129 S Phelps Ave, Suite 818, Rockford, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053474460.

Contact Information

Mr Michael John Trader, LCSW
129 Phelps Ave, Suite 818,
Rockford, IL 61108-2453
(815) 229-6316
(815) 229-6316

Map and Direction




Healthcare Provider's Profile

Full NameMr Michael John Trader
GenderFemale
SpecialitySocial Worker - Clinical
Location129 Phelps Ave, Rockford, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053474460
  • Provider Enumeration Date: 12/18/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Michael John Trader such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053474460NPI-NPPES
0010171232OtherILBCBS OF ILLINOIS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Michael John Trader is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Michael John Trader, LCSW
129 S Phelps Ave, Suite 818,
Rockford, IL 61108-2453

Ph: (815) 229-6316
Mr Michael John Trader, LCSW
129 Phelps Ave, Suite 818,
Rockford, IL 61108-2453

Ph: (815) 229-6316

Reviews and Comments


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