Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evan Michael Willmore, LCSW

Individual provider Clinical Social Worker · NPI 1710621271

Evan Michael Willmore, LCSW is a Clinical Social Worker in Granite City, Illinois. Licensed in Illinois. Registered with an NPI since 2022.

Licensed in
IL
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

50 Northgate Industrial Dr
Granite City, IL 62040-6805
Phone: (618) 877-4420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.024489 (IL)

Record details

NPI number1710621271
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 21, 2022
Last updated in NPPESApril 21, 2022
Certification dateApril 21, 2022
Mailing address448 Wylie Dr, Normal, IL 61761-5405

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