Individual provider · Type 1 NPI
Theresa Ann Wilson, LCSW
Clinical Social Worker · Polacca, AZ
Practice location
Milepost 388 Highway 264
Polacca, AZ 86042-4000
Fax (928) 737-6098
Mailing address
PO Box 4000
Polacca, AZ 86042-4000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 0698081 (NY) |
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…
Other clinical social worker providers in Polacca
About NPI 1295176733
Theresa Ann Wilson, LCSW's National Provider Identifier is 1295176733, issued on Jul 12, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Polacca, AZ. The record was last updated on Jul 12, 2013.