Individual provider · Type 1 NPI

Jessica C. Backer Wilde, LCSW

Clinical Social Worker · Hartford, CT

NPI number 1275649535 Active

Practice location

200 Retreat Avenue, Hartford Hospital Psychiatry Dept
Hartford, CT 06106-3309

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X006528 (CT)

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 1275649535

Jessica C. Backer Wilde, LCSW's National Provider Identifier is 1275649535, issued on Aug 21, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hartford, CT. The record was last updated on Jan 27, 2017.