Individual provider · Type 1 NPI
Heidi Allison Wilken Wallace, LCSW
Clinical Social Worker · Walnut, IL
Practice location
27566 1375 East St
Walnut, IL 61376-9528
Fax (815) 379-2184
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149012947 (IL) |
| Developmental Therapist | 222Q00000X | HW49060306P (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…
About NPI 1528107471
Heidi Allison Wilken Wallace, LCSW's National Provider Identifier is 1528107471, issued on Feb 6, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Walnut, IL. The record was last updated on Nov 19, 2012.