Individual provider · Type 1 NPI
Mark Wollam, LCSW
Clinical Social Worker · Galena, IL
Practice location
300 Summit St
Galena, IL 61036-1638
Mailing address
PO Box 813
Freeport, IL 61032-0813
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149019737 (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 1124575048
Mark Wollam, LCSW's National Provider Identifier is 1124575048, issued on Sep 8, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Galena, IL. The record was last updated on Nov 1, 2017.