Individual provider · Type 1 NPI

Breanna Nicole Wyley

Clinical Social Worker · Jacksonville, NC

NPI number 1053085654 Active

Practice location

3886 Henderson Dr
Jacksonville, NC 28546-5219

Fax (910) 938-9835

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP016593 (NC)

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 1053085654

Breanna Nicole Wyley's National Provider Identifier is 1053085654, issued on Aug 6, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jacksonville, NC. The record was last updated on Aug 6, 2021.