Individual provider · Type 1 NPI

Veronique Wallace, LCSW

Clinical Social Worker · Park Ridge, IL

NPI number 1437406592 Active

Practice location

1440 Renaissance Dr Ste 320
Park Ridge, IL 60068-1471

Call (773) 957-4469 Map

Mailing address

10124 S Winston Ave
Chicago, IL 60643-1357

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X150.013083 (IL)
Clinical Social Worker Primary 1041C0700X149015858 (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 1437406592

Veronique Wallace, LCSW's National Provider Identifier is 1437406592, issued on Aug 8, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Park Ridge, IL. The record was last updated on Jan 31, 2023.