Wilson, Simone

Wilson, Simone is an sole proprietor health care provider with primary practice located at 17732 Oak Park Ave Ste K , Tinley Park IL 60477-2064. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wilson, Simone can be contacted via phone (708) 212-3606.

Contact Information

Primary practice address
17732 Oak Park Ave Ste K Tinley Park IL 60477-2064
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149019073 Illinois
Behavioral Health & Social Service Providers / School 1041S0200X 1877719 Illinois

Profile Details

NPI number 1558890772
LBN Legal business name Wilson, Simone
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2017
Last updated Jun 27th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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