Individual provider · Type 1 NPI

Lisa Jane Wiese, LCSW

Clinical Social Worker · Chicago, IL

NPI number 1124410675 Active

Practice location

2950 W Chicago Ave, Suite 202
Chicago, IL 60622-4375

Call (773) 632-8675 Map

Mailing address

2020 N Mozart St Apt 221
Chicago, IL 60647-3977

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149014977 (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 1124410675

Lisa Jane Wiese, LCSW's National Provider Identifier is 1124410675, issued on Feb 20, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Feb 20, 2015.