Individual provider · Type 1 NPI

Kyle Wyman, LCSW

Clinical Social Worker · Philadelphia, PA

NPI number 1265912299 Active

Practice location

3900 Woodland Ave
Philadelphia, PA 19104-4551

Call (215) 594-1445 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Clinical Social Worker Primary 1041C0700XCW022109 (PA)

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 1265912299

Kyle Wyman, LCSW's National Provider Identifier is 1265912299, issued on Aug 20, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 18, 2024.