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

Mr. William Tiva Bounthong, LCSW

Individual provider Mental Health Counselor · NPI 1144091505

Mr. William Tiva Bounthong, LCSW is a Mental Health Counselor in Loves Park, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024
Specialties on file
2
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

7399 Forest Hills Rd
Loves Park, IL 61111-3974
Phone: (815) 708-7392
Fax: (815) 708-8248
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149025844 (IL)
Mental Health Counselor Taxonomy 101YM0800X · Licence 149025844 (IL)

Record details

NPI number1144091505
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 12, 2024
Last updated in NPPESFebruary 22, 2024
Certification dateFebruary 22, 2024

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