Individual provider · Type 1 NPI

Mahogany Nicole Wilson

Clinical Social Worker · Hurst, TX

NPI number 1073168118 Active

Practice location

615 W Harwood Rd
Hurst, TX 76054-3106

Mailing address

420 N State Highway 360 Apt 2113
Mansfield, TX 76063-8705

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X61015 (TX)

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 1073168118

Mahogany Nicole Wilson's National Provider Identifier is 1073168118, issued on Aug 6, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hurst, TX. The record was last updated on Aug 6, 2019.