MEDICARE: MHW PSYCHLAW SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker
2	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1043148612
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MHW PSYCHLAW SERVICES, INC.

Provider Business Mailing Address
First Line	:	5113 S HARPER AVE STE 2C
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60615-4119
Country	:	US
Telephone Number	:	312-810-7793
Fax Number	:

Provider Business Practice Location Address
First Line	:	5113 S HARPER AVE STE 2C
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60615-4119
Country	:	US
Telephone Number	:	312-810-7793
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MICHELLE HOY-WATKINS
Credential	:	PSY.D., ABPP
Telephone Number	:	312-810-7793

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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