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Benjamin Nishan Wall

Benjamin Nishan Wall is a Clinical Social Worker provider (Social Worker) practicing in Waukegan, IL, registered in the NPPES registry with NPI 1669200093 since 2024. Practices at The Josselyn Center Nfp (listed at the same practice address in NPPES).

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NPI 1669200093
Entity type Individual (Type 1)
Name Benjamin Nishan Wall
Sex Male
Practice address 415 WASHINGTON ST STE 200, Waukegan, IL, 60085
Phone 8474415600
Enumeration date 2024-07-25
Last updated in NPPES 2024-07-25

Taxonomy & licenses

Taxonomy code Specialty Primary License State
1041C0700X Clinical Social Worker Primary
Copy-ready billing details
Provider: Benjamin Wall
NPI: 1669200093
Taxonomy: 1041C0700X (Clinical Social Worker)
Address: 415 WASHINGTON ST STE 200, Waukegan, IL, 60085

Other providers at this practice address

NPI Name Type Specialty Location
1649806407 The Josselyn Center Nfp Organization Mental Health Clinic/Center (Including Community Mental Health Center) Waukegan, IL
1477172724 Kathryn Krucks Individual Art Therapist Waukegan, IL
1013520873 Steven Poland Individual Mental Health Counselor Waukegan, IL
1376132407 Patrick Justin Individual Mental Health Counselor Waukegan, IL
1376132282 Maribel Belen Individual Clinical Social Worker Waukegan, IL
1538748173 Crystal Pantoja Individual Case Manager/Care Coordinator Waukegan, IL
1275107856 Janet Galindo Individual Social Worker Waukegan, IL
1093382145 David Lopez Individual Mental Health Counselor Waukegan, IL

Verify this record

Cross-check NPI 1669200093 against the authoritative CMS record: view Benjamin Nishan Wall on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where does Benjamin Wall practice?
The practice location on file with NPPES is in Waukegan, IL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Benjamin Wall?
The National Provider Identifier (NPI) for Benjamin Wall is 1669200093, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-07-25.