Individual provider · Type 1 NPI

Diana L. Wall- Dudley, LCSW

Clinical Social Worker · Collinsville, IL

NPI number 1386998938 Active

Practice location

2014 Vandalia St
Collinsville, IL 62234-4848

Call (618) 345-9536 Map

Fax (618) 345-9587

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.009947 (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 1386998938

Diana L. Wall- Dudley, LCSW's National Provider Identifier is 1386998938, issued on Nov 5, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Collinsville, IL. The record was last updated on Feb 24, 2014.