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MS. TIFFANY ANDRAE WILSON
NPI 1992359046
Social Worker - Clinical in Crystal Lake, IL

Active since July 27, 2019
145 S VIRGINIA ST, CRYSTAL LAKE, IL 60014(815) 527-7300(815) 356-6680 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2020, Jul 27, 2019 (2 updates tracked since 2019).

About Ms. Tiffany Andrae Wilson NPPES

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

MS. TIFFANY ANDRAE WILSON (NPI 1992359046) is an individual clinical provider in Crystal Lake, Illinois and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1992359046
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. TIFFANY ANDRAE WILSON
Location Address145 S VIRGINIA STCrystal Lake, IL 60014-7226
Mailing Address5924 Clarendon DrRockford, IL 61114-5510 · (779) 207-6699
Phone(815) 527-7300
Fax(815) 356-6680
Sole ProprietorNo
Enumeration DateJuly 27, 2019
Last NPPES UpdateSeptember 24, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2020
✔ NPI 1992359046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
145 S VIRGINIA ST, Crystal Lake, IL 60014
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Other Providers at the Same Location NPPES 20

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

ANGELICA SOTO MSN,APRN,PMHNP-C
Nurse Practitioner (Psychiatric/Mental Health)
145 S VIRGINIA ST
CRYSTAL LAKE, IL 60014
McHenry County (815) 444-9999
EMILY ANNE CORSON
Social Worker (Clinical)
145 S VIRGINIA ST
CRYSTAL LAKE, IL 60014
McHenry County (815) 444-9999
MICHAEL THIEL
Counselor (Professional)
145 S VIRGINIA ST
CRYSTAL LAKE, IL 60014
McHenry County (815) 397-7654
DR. RAMESH BABU VEMURI M.D.
Psychiatry & Neurology (Psychiatry)
145 S VIRGINIA ST
CRYSTAL LAKE, IL 60014
McHenry County (815) 444-9999
STEPHANIE ROUSE
Social Worker (Clinical)
145 S VIRGINIA ST
CRYSTAL LAKE, IL 60014
McHenry County (815) 444-9999
DONNA LYNN DEROSE APN
Nurse Practitioner (Psychiatric/Mental Health)
145 S VIRGINIA ST
CRYSTAL LAKE, IL 60014
McHenry County (815) 444-9999
MATHERS CLINIC LLC
Psychiatry & Neurology (Psychiatry)
145 S VIRGINIA ST
CRYSTAL LAKE, IL 60014
McHenry County (815) 444-9999
ANDREW TAIT GORDINIER
Counselor
145 S VIRGINIA ST
CRYSTAL LAKE, IL 60014
McHenry County (815) 444-9999

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Wilson's NPI number?

The NPI number for Tiffany Wilson is 1992359046. It was assigned to this individual provider in the NPPES registry on July 27, 2019.

Where is Tiffany Wilson located?

Tiffany Wilson practices at 145 S Virginia St, Crystal Lake, IL 60014. The listed phone number is (815) 527-7300.

What is Tiffany Wilson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Tiffany Wilson was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.