Individual provider · Type 1 NPI
Susan Evelyn Wickstrom, LCSW
Clinical Social Worker · Geneva, IL
Practice location
125 Hamilton St
Geneva, IL 60134-2235
Fax (630) 232-9931
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None 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 1720093131
Susan Evelyn Wickstrom, LCSW's National Provider Identifier is 1720093131, issued on Jul 31, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Geneva, IL. The record was last updated on Jul 8, 2007.