Individual provider · Type 1 NPI

Karlissa Renee Wise, LCSW-C

Clinical Social Worker · Columbia, MD

NPI number 1043790660 Active

Practice location

6700 Alexander Bell Dr Ste 200
Columbia, MD 21046-2105

Call (410) 507-7213 Map

Mailing address

707 Linden Grove Pl Apt 203
Odenton, MD 21113-2598

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X0904014334 (VA)
Clinical Social Worker Primary 1041C0700X20983 (MD)
Clinical Social Worker 1041C0700XNone listed

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 1043790660

Karlissa Renee Wise, LCSW-C's National Provider Identifier is 1043790660, issued on Aug 14, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbia, MD. The record was last updated on Apr 29, 2025.