REX WYATT, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1417731290
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 149.025823 (IL) |
Frequently Asked Questions
NPI 1417731290 is the National Provider Identifier for REX WYATT, LCSW, a Social Worker - Clinical provider located in Springfield, IL. This NPI was enumerated on August 22, 2023.
REX WYATT, LCSW practices at 520 N 4TH ST, Springfield, IL 62702.
Quick Facts
- NPI
- 1417731290
- Type
- Individual
- Enumerated
- Aug 22, 2023
- Last Updated
- Sep 16, 2025
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