1. Home
  2. Directory
  3. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SERENITY SUE WALLICK LCSW
NPI 1053120766
Social Worker - Clinical in Saint David, IL

Active since January 06, 2025
301 CENTRAL AVE, SAINT DAVID, IL 61563(309) 338-4928 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Jan 6, 2025 (2 updates tracked since 2025).

About Serenity Sue Wallick Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENITY SUE WALLICK LCSW (NPI 1053120766) is an individual clinical provider in Saint David, Illinois and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1053120766
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSERENITY SUE WALLICKCredential: LCSW
Location Address301 CENTRAL AVESaint David, IL 61563-1520
Mailing AddressPo Box 13Saint David, IL 61563-0013
Phone(309) 338-4928
Sole ProprietorYes
Enumeration DateJanuary 6, 2025
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1053120766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
301 CENTRAL AVE, Saint David, IL 61563
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SERENITY GROWING TOGETHER COUNSELING LLC
Social Worker (Clinical)
301 CENTRAL AVE
SAINT DAVID, IL 61563
Fulton County (309) 338-4928

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serenity Wallick's NPI number?

The NPI number for Serenity Wallick is 1053120766. It was assigned to this individual provider in the NPPES registry on January 6, 2025.

Where is Serenity Wallick located?

Serenity Wallick practices at 301 Central Ave, Saint David, IL 61563. The listed phone number is (309) 338-4928.

What is Serenity Wallick's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Serenity Wallick was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.