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

Mark Wollam, LCSW

Individual provider Clinical Social Worker · NPI 1124575048

Mark Wollam, LCSW is a Clinical Social Worker in Galena, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
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

300 Summit St
Galena, IL 61036-1638
Phone: (815) 777-2836
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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 149019737 (IL)

Record details

NPI number1124575048
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 8, 2016
Last updated in NPPESNovember 1, 2017
Mailing addressPo Box 813, Freeport, IL 61032-0813

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