Individual provider · Type 1 NPI

Jermaine Wyatt, LICSW

Clinical Social Worker · Washington, DC

NPI number 1235378258 Active

Practice location

140 Michigan Ave NE, #T12
Washington, DC 20017-1039

Mailing address

1816 12th St NW
Washington, DC 20009-4422

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 1235378258

Jermaine Wyatt, LICSW's National Provider Identifier is 1235378258, issued on Feb 14, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Washington, DC. The record was last updated on Jun 27, 2026.