Evan Michael Willmore, LCSW

Clinical Social Worker · Granite City, IL

Individual Active NPI

NPI number 1710621271

Practice location

50 Northgate Industrial Dr
Granite City, IL 62040-6805
Phone
(618) 877-4420

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NPI record

NPI
1710621271
Entity type
Individual (Type 1)
Enumeration date
April 21, 2022
Last updated
April 21, 2022
Certified
April 21, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149.024489 IL

Mailing address

448 Wylie Dr
Normal, IL 61761-5405
Phone
(618) 512-1803

About Evan Willmore

Evan Michael Willmore, LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 50 Northgate Industrial Dr, Granite City, IL 62040-6805. The NPI number 1710621271 was assigned on April 21, 2022 and the record was last updated on April 21, 2022.

Evan Willmore lists a license in the registry: #149.024489 (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 Evan Michael Willmore, LCSW?

The NPI number is 1710621271.

What is the phone number of Evan Willmore?

The phone number listed for the practice location is (618) 877-4420.

Where is Evan Willmore located?

50 Northgate Industrial Dr, Granite City, IL 62040-6805.

What is the taxonomy code for Evan Willmore?

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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