Wanda Hardy Perkins, LCSW
Individual provider Active NPI Clinical Social Worker · Minooka, IL
NPI 1326538596 · NPPES record last updated May 14, 2018
Key facts
- NPI
- 1326538596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149014683 (IL)
- Practice address
- 203 W Mondamin St
Minooka, IL 60447 - Phone
- (815) 333-4032
- NPI assigned
- May 14, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149014683 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cartwheel Health Services PC | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149014683 | IL | Yes |
Addresses
Primary practice location
203 W Mondamin St
Minooka, IL 60447
Mailing address
1054 W 59TH CT
Merrillville, IN 46410-7608
Phone (404) 483-1323
Other names
- Wanda Perkins
Other providers in Minooka, IL
- Douglas Gossen
- Michael S Greenwald
- Nya Gudeman
- Jennie Marie Gura
- Happy Sounds, Inc.
- Home Hearing Helpers Inc
- Michelle L Hoven
- Neha Jhawar Howard
- Katie Lynn Hughes
- Paul Humphries
All providers in Minooka, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.