Individual provider · Type 1 NPI

Kaitlyn Marie Wilson

Clinical Social Worker · Winston Salem, NC

NPI number 1134090871 Active

Practice location

3000 Bethesda Pl Ste 501
Winston Salem, NC 27103-3327

Mailing address

950 N Trade St Apt 158
Winston Salem, NC 27101-1454

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP022941 (NC)

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 1134090871

Kaitlyn Marie Wilson's National Provider Identifier is 1134090871, issued on Sep 16, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Winston Salem, NC. The record was last updated on Sep 16, 2025.