MARY KATHLEEN WAGNER
Social Worker (Clinical)

Address: 2451 W Cortland St Apt 3, Chicago, IL 60647-0452

MARY KATHLEEN WAGNER (NPI# 1144815994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144815994
Entity Type Individual
Full Name MARY KATHLEEN WAGNER
Gender Female
Credential LCSW CADC
Practice Address 2451 W Cortland St Apt 3
Chicago
IL 60647-0452
Practice Telephone 8473342755
Mailing Address 2451 W Cortland St Apt 3
Chicago
IL 60647-0452
Mailing Telephone 8473342755
Certification Date 2021-03-03
Enumeration Date 2021-03-03
Last Update Date 2021-03-03
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
149020151 IL Behavioral Health & Social Service Providers

Office Location

Street Address 2451 W CORTLAND ST APT 3
City CHICAGO
State IL
Zip Code 60647-0452

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1982296539 Edward Yoo Pharmacist 2434 No. Sacramento Ave, Chicago, IL 60647 2021-02-05
1275124422 Esther Liana Ellis Dietitian, Registered 2122 N Stave Street Apt 2, Chicago, IL 60647 2021-01-31
1992396147 Mara Clare Marin Counselor · Professional 2269 N Kedzie Blvd Apt 1, Chicago, IL 60647 2021-01-31
1730775974 Jesus Lucero Tovar Pediatrics · Developmental - Behavioral Pediatrics 4433 Touhy Ave, Chicago, IL 60647 2020-12-11
1558975185 Kristin Tayag Physical Therapist 1923 N Western Ave, Chicago, IL 60647 2020-09-01
1164035879 Scott Spine and Health LLC Chiropractor 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 2020-08-24
1003424458 Emily Gleesing Physical Therapist 1923 N Western Ave, Chicago, IL 60647 2020-07-21
1699301358 Marcella Guzman P.C. Dentist · General Practice 3236 W. Fullerton Ave., Chicago, IL 60647 2020-03-13
1437794476 Khrystyna Huzar Nurse Practitioner · Family 2656 N Elston Ave, Chicago, IL 60647 2019-11-13
1740772342 Envision Unlimited · Washtenaw, 3n Case Management 2646 N Washtenaw Ave # 3n, Chicago, IL 60647 2018-05-31
Find all providers in zip 60647

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376138743 Liisa M Freeh 2933 N Avers Ave Unit 1, Chicago, IL 60618-7205 2021-03-07
1114512654 Margaret Fitch 10801 S Western Ave Ste 2b, Chicago, IL 60643-3225 2021-03-06
1053906610 Olaide Agunloye 2001 W North Ave, Chicago, IL 60647-5413 2021-03-05
1306431929 Melanie Garrett L Garrett 5317 W Chicago Ave, Chicago, IL 60651-2815 2021-03-05
1154916815 Mallory A Mareski 3111 W Armitage Ave Ste 200-204, Chicago, IL 60647-3818 2021-03-04
1457946204 Guadalupe Arroyo · Lupita Arroyo 5419 N. Sheridan Road, Suite 103-A, Chicago, IL 60640 2021-03-03
1215522131 James W Rohde 1015 W Lawrence Ave Fl 2, Chicago, IL 60640-5017 2021-03-02
1356936488 Andrew Patrick Hazzard 1525 E 53rd St Ste 602, Chicago, IL 60615-4551 2021-03-01
1144815226 Megan Evans 676 N Saint Clair St Ste 945, Chicago, IL 60611-2952 2021-03-01
1760077838 Lilah Handler & Associates 3411 W Diversey Ave Ste 14, Chicago, IL 60647-1245 2021-03-01
Find all providers in CHICAGO

Competitor

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City CHICAGO
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.