Individual provider · Type 1 NPI

Peggy Ilona Waller, LCSW, LCADC

Clinical Social Worker · Mendham, NJ

NPI number 1821369562 Active

Practice location

80 W Main St
Mendham, NJ 07945-1257

Call (973) 543-5656 Map

Fax (973) 543-1361

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X37LC00125500 (NJ)
Clinical Social Worker Primary 1041C0700X44SC05457700 (NJ)

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…

73 other providers at this address

Other clinical social worker providers in Mendham

See all in Mendham →

About NPI 1821369562

Peggy Ilona Waller, LCSW, LCADC's National Provider Identifier is 1821369562, issued on Jan 25, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mendham, NJ. The record was last updated on Jan 25, 2012.