Individual provider · Type 1 NPI
Mary Kathleen Wagner, LCSW CADC
Clinical Social Worker · Chicago, IL
Practice location
2451 W Cortland St Apt 3
Chicago, IL 60647-0452
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149020151 (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 1144815994
Mary Kathleen Wagner, LCSW CADC's National Provider Identifier is 1144815994, issued on Mar 3, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Mar 3, 2021.