Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SUSAN EVELYN WICKSTROM, LCSW
Active Sole ProprietorMS. SUSAN EVELYN WICKSTROM, LCSW is a Clinical Social Worker healthcare provider located in GENEVA, Illinois. NPI 1720093131 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · GENEVA, IL
Registration Details
- NPI Number
- 1720093131
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 31, 2006 (19.99828255629 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
125 HAMILTON STGENEVA, IL, 601342235Browse IL providers · Browse ZIP 60134
- Phone
- 6302322946
- Fax
- 6302329931
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in GENEVA, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. MARIANNE K KELLY | LCSW | 1740396522 |
| DR. KRISTEN LEE BRENDEL | LCSW, PHD | 1558469254 |
| TOMMIE D DEWESE | LCSW,ACSW | 1235224726 |
| PATRICIA A VICHA | LCSW,ACSW | 1740374370 |
| GAIL E MASTIO | LCSW | 1730274804 |
| MRS. SUSAN M REB | L.C.S.W. | 1376625657 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.