Individual provider · Type 1 NPI
Elizabeth Jane Wine, MSW
Clinical Social Worker · Villa Park, IL
Practice location
544 S. Cornell
Villa Park, IL 60181
Fax (630) 993-1402
Mailing address
1032 Shady Lane
Glen Ellyn, IL 60137
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 1780805945
Elizabeth Jane Wine, MSW's National Provider Identifier is 1780805945, issued on May 2, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Villa Park, IL. The record was last updated on Jul 8, 2007.