Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAMILLA WALLACE, LCSW
ActiveCAMILLA WALLACE, LCSW is a Clinical Social Worker healthcare provider located in EVANSTON, Illinois. NPI 1851572606 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · EVANSTON, IL
Registration Details
- NPI Number
- 1851572606
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 21, 2007 (18.750357955992 yrs)
- Last Updated
- Sep 16, 2013
- Licenses
-
149.013306 (IL)6801093324 (MI)
Practice Information
- Address
-
1007 CHURCH STSUITE 302EVANSTON, IL, 602013624Browse IL providers · Browse ZIP 60201
- Phone
- 8474921938
- Fax
- 8474235670
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in EVANSTON, IL
| Name | Credential | NPI |
|---|---|---|
| MS. JUDITH ARONSON | LCSW, BCD | 1700886579 |
| MS. JACQUELINE BERMAK | LCSW | 1891770640 |
| GRETCHEN GENZ DAVIDSON | MSW, LCSW | 1730165317 |
| DR. ROBERT ROSS FARRA | PH.D. | 1679559959 |
| MRS. RHODA R FRANKEL | — | 1851349872 |
| RANDI BETH SCHULMAN | LCSW | 1356394530 |
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.