Individual provider · Type 1 NPI

Kelsey Wild

Clinical Social Worker · Naperville, IL

NPI number 1003511999 Active

Practice location

1560 Wall St Ste 204
Naperville, IL 60563-1146

Call (815) 541-5365 Map

Mailing address

304 Courtland St
Warren, IL 61087-9335

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149024959 (IL)

Clinical Social Worker: 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 interpers…

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About NPI 1003511999

Kelsey Wild's National Provider Identifier is 1003511999, issued on Mar 31, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Naperville, IL. The record was last updated on Mar 31, 2023.