Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WILLIAM TIVA BOUNTHONG, LCSW
ActiveMR. WILLIAM TIVA BOUNTHONG, LCSW is a Clinical Social Worker healthcare provider located in LOVES PARK, Illinois. NPI 1144091505 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · LOVES PARK, IL
Registration Details
- NPI Number
- 1144091505
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 12, 2024 (2.5660591013365 yrs)
- Last Updated
- Feb 22, 2024
- Licenses
-
149025844 (IL)149025844 (IL)
Practice Information
- Address
-
7399 FOREST HILLS RDLOVES PARK, IL, 611113974Browse IL providers · Browse ZIP 61111
- Phone
- 8157087392
- Fax
- 8157088248
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in LOVES PARK, IL
| Name | Credential | NPI |
|---|---|---|
| MARY NAUGLE | LCPC, LCSW | 1881639292 |
| VICTORIA M. HOMINICK | LCSW | 1184775207 |
| JASON JOSEF BLAKE | LCSW | 1780730101 |
| BRUCE PERSON | LCSW | 1629341219 |
| CHRISTINA MORRIS | LCSW | 1285987776 |
| TARA WHITE | LCSW | 1194111567 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.