Individual provider · Type 1 NPI

Jessica Doyle Wall, A.M., LCSW

Clinical Social Worker · Chicago, IL

NPI number 1508910308 Active

Practice location

5426 S East View Park
Chicago, IL 60615-5898

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149006946 (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 1508910308

Jessica Doyle Wall, A.M., LCSW's National Provider Identifier is 1508910308, issued on Jan 22, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Oct 1, 2025.