Provider Demographics
NPI:1700402104
Name:WEDWICK, KAAMILYA SABREEN (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:KAAMILYA
Middle Name:SABREEN
Last Name:WEDWICK
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3089 GRANDE TRAIL
Mailing Address - Street 2:
Mailing Address - City:YORKVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60560-5841
Mailing Address - Country:US
Mailing Address - Phone:847-757-2577
Mailing Address - Fax:
Practice Address - Street 1:75 EXECUTIVE DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-8137
Practice Address - Country:US
Practice Address - Phone:847-757-2577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-22
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical