Individual provider · Type 1 NPI

Paul K. Wiemerslage, LCSW

Clinical Social Worker · Chicago, IL

NPI number 1699040378 Active

Practice location

5537 N Broadway St
Chicago, IL 60640-1405

Call (773) 989-9400 Map

Fax (773) 989-9494

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X149.015124 (IL)
Clinical Social Worker Primary 1041C0700X149.015124 (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 1699040378

Paul K. Wiemerslage, LCSW's National Provider Identifier is 1699040378, issued on Mar 14, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Mar 14, 2012.