Individual provider · Type 1 NPI

Maya Jean Wilson, LICSW

Clinical Social Worker · Bremerton, WA

NPI number 1174632905 Active

Practice location

925 Adele Ave
Bremerton, WA 98312-3521

Call (360) 782-0129 Map

Fax (360) 377-8029

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW00005134 (WA)

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 1174632905

Maya Jean Wilson, LICSW's National Provider Identifier is 1174632905, issued on Aug 29, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bremerton, WA. The record was last updated on Jul 8, 2007.