Individual provider · Type 1 NPI

Mary Wisnieski, LMSW

Clinical Social Worker · Davenport, IA

NPI number 1104499565 Active

Practice location

2208 E 52nd St
Davenport, IA 52807-2726

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X095257 (IA)

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 1104499565

Mary Wisnieski, LMSW's National Provider Identifier is 1104499565, issued on Jul 22, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Davenport, IA. The record was last updated on Jul 22, 2021.