Individual provider · Type 1 NPI
Theresa A. Wiese, LCSW
Clinical Social Worker · Washington, IL
Practice location
310 Hillcrest Dr
Washington, IL 61571-2221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Clinical Social Worker Primary | 1041C0700X | 149021439 (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 1891750816
Theresa A. Wiese, LCSW's National Provider Identifier is 1891750816, issued on Apr 20, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Washington, IL. The record was last updated on Apr 17, 2025.