WANDA DENISE SMITH CPSYC HCPROF
NPI 1114550688
Psychologist - Clinical in Hazel Crest, IL

Q: What is Wanda Denise Smith's NPI number?

The NPI number for Wanda Denise Smith is 1114550688. It was assigned to this individual provider in the NPPES registry on February 12, 2020. The provider is also known as Denise Smith Cpsyc Hcprof.

Q: What is Wanda Denise Smith's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since February 12, 2020

17100 DIXIE HWY STE D, HAZEL CREST, IL 60429(331) 643-5238(708) 991-7320 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Wanda Denise Smith Cpsyc Hcprof NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WANDA DENISE SMITH CPSYC HCPROF (NPI 1114550688) is an individual clinical provider in Hazel Crest, Illinois, licensed in Illinois (8KUSC7H7) and active in the NPI registry since February 2020. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1114550688

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameWANDA DENISE SMITHCredential: CPSYC HCPROF

Location Address17100 DIXIE HWY STE DHazel Crest, IL 60429-1485

Mailing Address11344 S Hermosa AveChicago, IL 60643-4279 · (331) 643-5238

Phone(331) 643-5238

Fax(708) 991-7320

Sole ProprietorYes

Enumeration DateFebruary 12, 2020

✔ NPI 1114550688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 8KUSC7H7

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License KWN75FB9 (IL)

Also ListedCommunity Health WorkerTaxonomy 172V00000X · License 8KUSC7H7 (IL)

Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X · License 8KUSC7H7 (IL)

17100 DIXIE HWY STE D, Hazel Crest, IL 60429

Open in Google Maps ↗

Other Names 1

Professional Name (2)Denise Smith Cpsyc Hcprof

Secondary Practice Location 1

Location 111344 S Hermosa AveChicago, IL 60643-4279 · Phone (331) 643-5238

Other Identifiers 1

Medicaid36369473001IL

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHIRLEY JEAN HIGHTOWER CADC, MISA

Counselor (Addiction (Substance Use Disorder))