Individual provider · Type 1 NPI

Tiffany Andrae Wilson

Clinical Social Worker · Crystal Lake, IL

NPI number 1992359046 Active

Practice location

145 S Virginia St
Crystal Lake, IL 60014-7226

Call (815) 527-7300 Map

Fax (815) 356-6680

Mailing address

5924 Clarendon Dr
Rockford, IL 61114-5510

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XNone 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 1992359046

Tiffany Andrae Wilson's National Provider Identifier is 1992359046, issued on Jul 27, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Crystal Lake, IL. The record was last updated on Sep 24, 2020.