Individual
MRS. WENDY SUE BECKER PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, SSW
Contact information
Practice address
909 N. SMILEY STREET, O'FALLON, IL 62269-1231
(618) 632-6541
Mailing address
909 N. SMILEY STREET, O'FALLON, IL 62269-1231
(618) 632-6541
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
002882
MO
1041C0700X
Clinical Social Worker
WP32261106P
IL
1041C0700X
Clinical Social Worker
—
IL
1041S0200X
School Social Worker
Primary
1621340
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100044415-62762-01
STATE OF ILLINOIS HUMAN
IL
Enumeration date
04/10/2007
Last updated
09/11/2025
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