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

Mrs. Katharine Kuball Wagner, LCSW

Individual provider Clinical Social Worker · NPI 1598537284

Mrs. Katharine Kuball Wagner, LCSW is a Clinical Social Worker in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2023
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

5017 W Berteau Ave
Chicago, IL 60641-1738
Phone: (630) 865-1352
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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 149.013121 (IL)

Record details

NPI number1598537284
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 25, 2023
Last updated in NPPESOctober 25, 2023
Certification dateOctober 25, 2023

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