Brittany L. Hermann, LCSW

Individual provider Active NPI Clinical Social Worker · Wadsworth, IL

NPI 1235522145 · NPPES record last updated Mar 17, 2015

Key facts

NPI
1235522145
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
149.017440 (IL)
Practice address
39400 N Dilleys Rd
Wadsworth, IL 60083-9781
Phone
(847) 406-0386
NPI assigned
Mar 17, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
149.017440ILMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.017440 IL Yes

Addresses

Primary practice location

39400 N Dilleys Rd
Wadsworth, IL 60083-9781

Mailing address

39400 N Dilleys Rd
Wadsworth, IL 60083-9781
Phone (847) 406-0386

Other providers in Wadsworth, IL

All providers in Wadsworth, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.