Wanda Denise Smith, CPSYC HCPROF - Psychologist in Hazel Crest, IL

Wanda Denise Smith, CPSYC HCPROF is a Psychologist - Clinical based in Hazel Crest, Illinois. Wanda Denise Smith is licensed to practice in Illinois (license number 8KUSC7H7) and her current practice location is 17100 Dixie Hwy Ste D, Hazel Crest, Illinois. She can be reached at her office (for appointments etc.) via phone at (331) 643-5238.

NPI number for Wanda Denise Smith is 1114550688 and her current mailing address is 11344 S Hermosa Ave, Chicago, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114550688.

Contact Information

Wanda Denise Smith, CPSYC HCPROF
17100 Dixie Hwy Ste D,
Hazel Crest, IL 60429-1485
(331) 643-5238
(708) 991-7320

Map and Direction




Healthcare Provider's Profile

Full NameWanda Denise Smith
GenderFemale
SpecialityPsychologist - Clinical
Location17100 Dixie Hwy Ste D, Hazel Crest, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114550688
  • Provider Enumeration Date: 02/12/2020
  • Last Update Date: 02/12/2020

Medical Identifiers

Medical identifiers for Wanda Denise Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114550688NPI-NPPES
36369473001MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC2200XPsychologist - Clinical Child & Adolescent KWN75FB9 (Illinois)Secondary
172V00000XCommunity Health Worker 8KUSC7H7 (Illinois)Secondary
261QC1500XClinic/center - Community Health 8KUSC7H7 (Illinois)Secondary
103TC0700XPsychologist - Clinical 8KUSC7H7 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Wanda Denise Smith is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wanda Denise Smith, CPSYC HCPROF
11344 S Hermosa Ave,
Chicago, IL 60643-4279

Ph: (331) 643-5238
Wanda Denise Smith, CPSYC HCPROF
17100 Dixie Hwy Ste D,
Hazel Crest, IL 60429-1485

Ph: (331) 643-5238

Reviews and Comments


Psychologist in Hazel Crest, IL

Marilyn C Scott, PSY.D
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 18505 Meadow Ln., Hazel Crest, IL 60429
Phone: 708-380-0253    
Dr. Eliezer L. Schwartz, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3330 W 177th St Ste 3c, Hazel Crest, IL 60429
Phone: 773-319-3613    
Ozella Barnes,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3330 W 177th St, Suite 1f, Hazel Crest, IL 60429
Phone: 708-745-3040    

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