Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS MARY MIMS
Active Sole ProprietorMISS MARY MIMS is a Clinical Social Worker healthcare provider located in HOMEWOOD, Illinois. NPI 1174989016 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · HOMEWOOD, IL
Registration Details
- NPI Number
- 1174989016
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 7, 2016 (10.559939588333 yrs)
- Last Updated
- May 11, 2020
- Licenses
-
149022074 (IL)34006323A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1051 185TH STHOMEWOOD, IL, 604303509Browse IL providers · Browse ZIP 60430
- Phone
- 7089037689
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in HOMEWOOD, IL
| Name | Credential | NPI |
|---|---|---|
| MS. JUDITH ANN HOGAN | LCSW | 1447209507 |
| SUSAN YACOBELLIS | — | 1043232184 |
| ELLEN AGNES WIGGINS | LCSW | 1144337700 |
| KATHLEEN M DALSANTO | MSW,LCSW | 1083716112 |
| MS. FAY L MYERS | MDIV MSW LCSW | 1174627285 |
| DR. JOAN G PORCHE | PHD | 1336225788 |
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.