Individual provider · Type 1 NPI
Fiona Christine Waller, LCSW
Clinical Social Worker · Lake Forest, IL
Practice location
145 Morris Ln Unit 108
Lake Forest, IL 60045-1389
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 2020013516 (MO) |
| Clinical Social Worker Primary | 1041C0700X | 2022029180 (MO) |
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 1710552203
Fiona Christine Waller, LCSW's National Provider Identifier is 1710552203, issued on May 26, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lake Forest, IL. The record was last updated on Jan 23, 2024.