Witt, Michelle R.

Witt, Michelle R. is an individual health care provider with primary practice located at 210 Burns Farm Blvd N , Edwardsville IL 62025-2498. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Witt, Michelle R. can be contacted via phone (618) 401-3825.

Contact Information

Primary practice address
210 Burns Farm Blvd N Edwardsville IL 62025-2498
Phone: (618) 401-3825
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149-012361 Illinois

Profile Details

NPI number 1902020944
LBN Legal business name Witt, Michelle R.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Dec 27th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902020944 NPPES
Illinois Other 149-012361 LCSW

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