Individual provider · Type 1 NPI

Ellie Marie Waibel, LSW

Clinical Social Worker · Peoria, IL

NPI number 1184493264 Active

Practice location

7620 N University St Ste 109
Peoria, IL 61614-8300

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X150.117281 (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 1184493264

Ellie Marie Waibel, LSW's National Provider Identifier is 1184493264, issued on Dec 29, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Peoria, IL. The record was last updated on Aug 20, 2025.