Individual provider · Type 1 NPI

Jade Wilson

Clinical Social Worker · Renton, WA

NPI number 1104481506 Active

Practice location

9215 S 198th St
Renton, WA 98055-4111

Mailing address

1101 Andover Park W Ste 107
Tukwila, WA 98188-3911

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 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 1104481506

Jade Wilson's National Provider Identifier is 1104481506, issued on May 1, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Renton, WA. The record was last updated on Jul 28, 2026.