MARY KATHLEEN WAGNER LCSW CADC
NPI 1144815994
Social Worker - Clinical in Chicago, IL

Active since March 03, 2021
2451 W CORTLAND ST APT 3, CHICAGO, IL 60647(847) 334-2755 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Kathleen Wagner Lcsw Cadc NPPES

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

MARY KATHLEEN WAGNER LCSW CADC (NPI 1144815994) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149020151) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1144815994
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY KATHLEEN WAGNERCredential: LCSW CADC
Location Address2451 W CORTLAND ST APT 3Chicago, IL 60647-0452
Mailing Address2451 W Cortland St Apt 3Chicago, IL 60647-0452 · (847) 334-2755
Sole ProprietorYes
Enumeration DateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
NPI 1144815994 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 · 149020151
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.

2451 W CORTLAND ST APT 3, Chicago, IL 60647

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 Mary Wagner's NPI number?

The NPI number for Mary Wagner is 1144815994. It was assigned to this individual provider in the NPPES registry on March 3, 2021.

Where is Mary Wagner located?

Mary Wagner practices at 2451 W Cortland St Apt 3, Chicago, IL 60647. The listed phone number is (847) 334-2755.

What is Mary Wagner'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 Mary Wagner was last updated on March 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.