Individual provider · Type 1 NPI

Mindy Sue Wooledge, LCSW

Clinical Social Worker · Rome, NY

NPI number 1124570452 Active

Practice location

227 W Dominick St
Rome, NY 13440-5859

Fax (315) 337-9262

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1194540 (NY)
Social Worker 104100000X087779 (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 1124570452

Mindy Sue Wooledge, LCSW's National Provider Identifier is 1124570452, issued on Nov 3, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rome, NY. The record was last updated on May 14, 2021.