Individual provider · Type 1 NPI

Lida Wagner, LCSW

Clinical Social Worker · Niles, IL

NPI number 1386947737 Active

Practice location

999 Civic Center Dr
Niles, IL 60714-3224

Call (847) 588-8460 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149014271 (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 1386947737

Lida Wagner, LCSW's National Provider Identifier is 1386947737, issued on Dec 7, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Niles, IL. The record was last updated on Dec 7, 2010.