Individual provider · Type 1 NPI
Nickosha Alisa Wayne, LCSW
Clinical Social Worker · Bronx, NY
Practice location
4223 Seton Ave
Bronx, NY 10466-2119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 103162 (NY) |
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 1093526345
Nickosha Alisa Wayne, LCSW's National Provider Identifier is 1093526345, issued on Jan 16, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bronx, NY. The record was last updated on May 27, 2026.