Individual provider · Type 1 NPI

Shanese Wise

Clinical Social Worker · Baltimore, MD

NPI number 1235003104 Active

Practice location

2831 Hillen Rd
Baltimore, MD 21218-3144

Mailing address

1553 Barrett Rd
Gwynn Oak, MD 21207-4970

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X31691 (MD)

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 1235003104

Shanese Wise's National Provider Identifier is 1235003104, issued on Oct 2, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Baltimore, MD. The record was last updated on Oct 2, 2025.