Individual provider · Type 1 NPI
Jeanine Michelle Wilson, LICSW
Clinical Social Worker · Upper Marlboro, MD
Practice location
4809 Colonel Brooke Ct
Upper Marlboro, MD 20772-2872
Fax (301) 780-3271
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LC50078965 (DC) |
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 1033418611
Jeanine Michelle Wilson, LICSW's National Provider Identifier is 1033418611, issued on Mar 22, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Upper Marlboro, MD. The record was last updated on Mar 22, 2011.