Individual provider · Type 1 NPI

Ursula Wagner, LCSW

Clinical Social Worker · Chicago, IL

NPI number 1467905679 Active

Practice location

1015 W Lawrence Ave
Chicago, IL 60640-5017

Mailing address

1524 E 59th St, Apt. A0
Chicago, IL 60637-2009

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.016295 (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 1467905679

Ursula Wagner, LCSW's National Provider Identifier is 1467905679, issued on Jul 25, 2016. 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 25, 2016.