Individual provider · Type 1 NPI

Elizabeth Wild, LCSW

Clinical Social Worker · Springfield, IL

NPI number 1649852526 Active

Practice location

3008 Happy Landing Dr
Springfield, IL 62711-6259

Mailing address

2772 Jamar Trl Apt 206
Decatur, IL 62521-2373

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149023240 (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 1649852526

Elizabeth Wild, LCSW's National Provider Identifier is 1649852526, issued on Apr 21, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Springfield, IL. The record was last updated on Apr 21, 2021.