| Doctor Name: | WINIFRED H MYCKA |
| NPI Number: | 1073837365 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 34000551A |
| Business Practice Address: | 8555 Taft St Merrillville, IN - 464106123 |
| Business Phone Number: | 2197694005 |
| Business Fax Number: | |
| Mailing Address: | 8400 Louisiana St, MERRILLVILLE |
| State: | IN |
| Postal Code: | 464106385 |
| Phone Number: | 2197571928 |
| Fax Number: | 2197571950 |
| NPI Enumeration Date: | 03/16/2010 |
| NPI Last Update Date: | 05/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 34000551A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |