Individual provider · Type 1 NPI

Meredith Wild, LCSW

Clinical Social Worker · Marion, IL

NPI number 1275237745 Active

Practice location

3111 Williamson County Pkwy
Marion, IL 62959-5235

Call (618) 519-9200 Map

Fax (618) 985-9155

Mailing address

109 California St, PO Box 577
Carterville, IL 62918

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.025448 (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 1275237745

Meredith Wild, LCSW's National Provider Identifier is 1275237745, issued on Mar 29, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Marion, IL. The record was last updated on Mar 29, 2023.