Joann Wilson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149002675 Issued in IL

Practice address

702 N Logan Ave
Danville, IL 61832-4323

Phone

(217) 446-1300

Fax

(217) 446-1325

NPI assigned

Mar 30, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aunt Martha'S Health and Wellness, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Danville, IL
  • NPI 1609917863
  NPD (past)
• Center for Children'S Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Danville, IL
  • NPI 1013162304
  NPD (past)

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1598031833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N LOGAN AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618324323",
            "telephone_number": "217-446-1300",
            "fax_number": "217-446-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N LOGAN AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618324323",
            "telephone_number": "217-446-1300",
            "fax_number": "217-446-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JOANN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149002675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "149002675",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lyndsey Williams, BSN, R.N.
• Mildred J Williams, LCSW
• Natalie Michelle Williams, LCSW
• Precious Sherelle Williams, BS, MHP
• Allison Jean Williamson
• Katie Wilson, AGACNP-BC
• Richard D. Wilson
• Robert Wilson
• Traci Wilt, LCSW
• Wayne Thomas Wing, PA-C

• Clinical Social Worker in Danville, IL
• Providers in Danville, 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 Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.