William Kelvyn Smith, ED.D.

Clinical Social Worker · Bolingbrook, IL

Individual Active NPI

NPI number 1164109591

Practice location

605 Piccadilly Ln
Bolingbrook, IL 60440-1021
Phone
(630) 673-2040

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NPI record

NPI
1164109591
Entity type
Individual (Type 1)
Enumeration date
June 28, 2023
Last updated
June 28, 2023
Certified
June 28, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149009435 IL

About William Smith

William Kelvyn Smith, ED.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 605 Piccadilly Ln, Bolingbrook, IL 60440-1021. The NPI number 1164109591 was assigned on June 28, 2023 and the record was last updated on June 28, 2023.

William Smith lists a license in the registry: #149009435 (IL) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of William Kelvyn Smith, ED.D.?

The NPI number is 1164109591.

What is the phone number of William Smith?

The phone number listed for the practice location is (630) 673-2040.

Where is William Smith located?

605 Piccadilly Ln, Bolingbrook, IL 60440-1021.

What is the taxonomy code for William Smith?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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