Individual provider · Type 1 NPI

Casey Ann Wallace

Clinical Social Worker · Chicago, IL

NPI number 1346824331 Active

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

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700X149026886 (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.