Individual provider · Type 1 NPI

Benjamin Nishan Wall

Clinical Social Worker · Waukegan, IL

NPI number 1669200093 Active

Practice location

415 Washington St Ste 200
Waukegan, IL 60085-5564

Call (847) 441-5600 Map

Mailing address

3657 N Whipple St Apt 1F
Chicago, IL 60618-4519

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1669200093

Benjamin Nishan Wall's National Provider Identifier is 1669200093, issued on Jul 25, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waukegan, IL. The record was last updated on Jul 25, 2024.