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

Rex Blair Wyatt, LCSW

Individual provider Clinical Social Worker · NPI 1417731290

Rex Blair Wyatt, LCSW is a Clinical Social Worker in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

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

520 N 4th St
Springfield, IL 62702-5238
Phone: (217) 545-8000
Fax: (217) 757-8161
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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 149.025823 (IL)

Record details

NPI number1417731290
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 22, 2023
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

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