BENJAMIN NISHAN WALL
NPI 1669200093
Social Worker - Clinical in Waukegan, IL

Active since July 25, 2024
415 WASHINGTON ST STE 200, WAUKEGAN, IL 60085(847) 441-5600 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Benjamin Nishan Wall NPPES

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

BENJAMIN NISHAN WALL (NPI 1669200093) is an individual clinical provider in Waukegan, Illinois and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1669200093
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBENJAMIN NISHAN WALL
Location Address415 WASHINGTON ST STE 200Waukegan, IL 60085-5564
Mailing Address3657 N Whipple St Apt 1fChicago, IL 60618-4519 · (559) 799-1139
Sole ProprietorNo
Enumeration DateJuly 25, 2024
NPPES CertifiedJuly 25, 2024
NPI 1669200093 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.
415 WASHINGTON ST STE 200, Waukegan, IL 60085

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
415 WASHINGTON ST STE 200
WAUKEGAN, IL 60085
Counselor (Professional)
415 WASHINGTON ST STE 200
WAUKEGAN, IL 60085
Counselor (Professional)
415 WASHINGTON ST STE 200
WAUKEGAN, IL 60085
Counselor (Mental Health)
415 WASHINGTON ST STE 200
WAUKEGAN, IL 60085
Student in an Organized Health Care Education/Training Program
415 WASHINGTON ST STE 200
WAUKEGAN, IL 60085
Counselor (Mental Health)
415 WASHINGTON ST STE 200
WAUKEGAN, IL 60085
Counselor (School)
415 WASHINGTON ST STE 200
WAUKEGAN, IL 60085
Social Worker
415 WASHINGTON ST STE 200
WAUKEGAN, IL 60085

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 Benjamin Wall's NPI number?

The NPI number for Benjamin Wall is 1669200093. It was assigned to this individual provider in the NPPES registry on July 25, 2024.

Where is Benjamin Wall located?

Benjamin Wall practices at 415 Washington St Ste 200, Waukegan, IL 60085. The listed phone number is (847) 441-5600.

What is Benjamin Wall'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 Benjamin Wall was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.