MARK WOLLAM LCSW
NPI 1124575048
Social Worker - Clinical in Galena, IL

Active since September 08, 2016
300 SUMMIT ST, GALENA, IL 61036(815) 777-2836 Get Directions Write a Review

NPPES record last updated: November 1, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Wollam Lcsw NPPES

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

MARK WOLLAM LCSW (NPI 1124575048) is an individual clinical provider in Galena, Illinois, licensed in Illinois (149019737) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1124575048
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMARK WOLLAMCredential: LCSW
Location Address300 SUMMIT STGalena, IL 61036-1638
Mailing AddressPo Box 813Freeport, IL 61032-0813
Sole ProprietorNo
Enumeration DateSeptember 8, 2016
Last NPPES UpdateNovember 1, 2017
NPI 1124575048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 149019737
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.
300 SUMMIT ST, Galena, IL 61036

Other Identifiers 1

Other149019737IL · Lcsw License

Other Providers at the Same Location NPPES 11

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

Social Worker (Clinical)
300 SUMMIT ST
GALENA, IL 61036
Counselor
300 SUMMIT ST
GALENA, IL 61036
Counselor
300 SUMMIT ST
GALENA, IL 61036
Counselor
300 SUMMIT ST
GALENA, IL 61036
Counselor (Professional)
300 SUMMIT ST
GALENA, IL 61036
Counselor
300 SUMMIT ST
GALENA, IL 61036
Chiropractor (Orthopedic)
300 SUMMIT ST
GALENA, IL 61036
Social Worker (Clinical)
300 SUMMIT ST
GALENA, IL 61036

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 Mark Wollam's NPI number?

The NPI number for Mark Wollam is 1124575048. It was assigned to this individual provider in the NPPES registry on September 8, 2016.

Where is Mark Wollam located?

Mark Wollam practices at 300 Summit St, Galena, IL 61036. The listed phone number is (815) 777-2836.

What is Mark Wollam'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 Mark Wollam was last updated on November 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.