Healthcare Provider Details

I. General information

NPI: 1427338821
Provider Name (Legal Business Name): SOCIAL WORK SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2011
Last Update Date: 01/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

62 ORLAND SQUARE DR SUITE 006
ORLAND PARK IL
60462-6546
US

IV. Provider business mailing address

PO BOX 1031
OAK FOREST IL
60452-7031
US

V. Phone/Fax

Practice location:
  • Phone: 708-941-1077
  • Fax: 708-810-9513
Mailing address:
  • Phone: 708-941-1077
  • Fax: 708-810-9513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES W MANOCK
Title or Position: PRESIDENT
Credential: LCSW
Phone: 708-941-1077