Individual provider · Type 1 NPI

Jennifer Wagner, LCSW

Clinical Social Worker · Libertyville, IL

NPI number 1881050607 Active

Practice location

800 S Milwaukee Ave Ste 105
Libertyville, IL 60048-3268

Call (847) 816-9180 Map

Fax (847) 816-9183

Mailing address

26194 N Hickory Ave
Mundelein, IL 60060-4006

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149015113 (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 1881050607

Jennifer Wagner, LCSW's National Provider Identifier is 1881050607, issued on Jan 8, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Libertyville, IL. The record was last updated on Feb 3, 2016.