Naomi Wilansky, MSS LCSW BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149008716 Issued in IL

Practice address

1100 Beech St
BLDG 10
Normal, IL 61761-1456

Phone

(309) 825-8818

Fax

(309) 452-1265

NPI assigned

Mar 6, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1043340334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BEECH ST",
            "address_2": "BLDG 10",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611456",
            "telephone_number": "309-825-8818",
            "fax_number": "309-452-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BEECH ST",
            "address_2": "BLDG 10",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611456",
            "telephone_number": "309-825-8818",
            "fax_number": "309-452-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILANSKY",
        "first_name": "NAOMI",
        "name_prefix": "Ms.",
        "credential": "MSS LCSW BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149008716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "371389823",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "005725530",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey Danielle White, APRN
• Traci White, LCPC
• Joseph Haden Whitson, ATC
• Katherine Anne Widerborg, MD
• Mary Beth Wiegand
• Mai Ulziibayar Wilhour, CRNA
• Kristen Wilken, ST
• Lynn Willard, LCPC, LCSW
• Kristin Willeford, ATC
• Michelle Rose Willenbring, O.D.

• Clinical Social Worker in Normal, IL
• Providers in Normal, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.