Individual provider · Type 1 NPI

Mary Jackson Lee, LCSW

Clinical Social Worker · Wheaton, IL

NPI number 1679807614 Active

Practice location

615 W Front St, Suite 201
Wheaton, IL 60187-4935

Call (630) 415-8980 Map

Mailing address

PO Box 894
Wheaton, IL 60187-0894

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149007956 (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 1679807614

Mary Jackson Lee, LCSW's National Provider Identifier is 1679807614, issued on Sep 23, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wheaton, IL. The record was last updated on Sep 23, 2009.