Individual provider · Type 1 NPI

Chea Wyatt

Clinical Social Worker · Belleville, IL

NPI number 1235590100 Active

Practice location

112 Chevy Chase Dr
Belleville, IL 62223-4120

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist 222Q00000XNone listed
Clinical Social Worker Primary 1041C0700X149.031495 (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 1235590100

Chea Wyatt's National Provider Identifier is 1235590100, issued on Mar 18, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Belleville, IL. The record was last updated on Mar 19, 2026.