Individual provider · Type 1 NPI
Casey Ann Wallace
Clinical Social Worker · Chicago, IL
Practice location
2845 N Sheridan Rd, Suite 809
Chicago, IL 60657
Mailing address
3024 N Lincoln Ave Unit F
Chicago, IL 60657-4253
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | 149026886 (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 1346824331
Casey Ann Wallace's National Provider Identifier is 1346824331, issued on May 6, 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 Jul 4, 2024.