Individual provider · Type 1 NPI

Parker Harrison Wise, MA, LSW

Clinical Social Worker · Boulder, CO

NPI number 1154101467 Active

Practice location

4790 Table Mesa Dr Ste 108
Boulder, CO 80305-5660

Call (720) 912-2044 Map

Mailing address

270 E Flatiron Crossing Dr Unit 1173
Broomfield, CO 80021-8118

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLSW.0009924767 (CO)

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 1154101467

Parker Harrison Wise, MA, LSW's National Provider Identifier is 1154101467, issued on Oct 3, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boulder, CO. The record was last updated on Oct 3, 2023.