Individual provider · Type 1 NPI

Shawanda Rene Wilder

Clinical Social Worker · Cape Coral, FL

NPI number 1174120265 Active

Practice location

2489 Diplomat Pkwy E
Cape Coral, FL 33909-5422

Call (239) 652-1800 Map

Fax (239) 652-1932

Mailing address

616 N 10th St
Immokalee, FL 34142-2908

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 1174120265

Shawanda Rene Wilder's National Provider Identifier is 1174120265, issued on Oct 2, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cape Coral, FL. The record was last updated on Oct 2, 2020.