Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lida Wagner, LCSW

Individual provider Clinical Social Worker · NPI 1386947737

Lida Wagner, LCSW is a Clinical Social Worker in Niles, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2010
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

999 Civic Center Dr
Niles, IL 60714-3224
Phone: (847) 588-8460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149014271 (IL)

Record details

NPI number1386947737
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 7, 2010
Last updated in NPPESDecember 7, 2010
Mailing address999 Civic Center Dr, Niles, IL 60714-3224

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