Individual provider · Type 1 NPI

Ellen Agnes Wiggins, LCSW

Clinical Social Worker · Homewood, IL

NPI number 1144337700 Active

Practice location

18154 Martin Ave, Suite 3
Homewood, IL 60430-2139

Fax (773) 429-1841

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1144337700

Ellen Agnes Wiggins, LCSW's National Provider Identifier is 1144337700, issued on Aug 23, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Homewood, IL. The record was last updated on Jul 8, 2007.