Individual provider · Type 1 NPI

Jessica Lyn Wilde, LCSW

Clinical Social Worker · Bradenton, FL

NPI number 1023289873 Active

Practice location

439 Cortez Rd W
Bradenton, FL 34207-1544

Fax (941) 755-5650

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW 8140 (FL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1023289873

Jessica Lyn Wilde, LCSW's National Provider Identifier is 1023289873, issued on Mar 20, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bradenton, FL. The record was last updated on Mar 20, 2008.