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

Mark Wollam, LCSW

Individual provider Clinical Social Worker · NPI 1124575048

Mark Wollam, LCSW is a Clinical Social Worker in Galena, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
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

300 Summit St
Galena, IL 61036-1638
Phone: (815) 777-2836
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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 149019737 (IL)

Record details

NPI number1124575048
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 8, 2016
Last updated in NPPESNovember 1, 2017

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