Individual provider · Type 1 NPI
Julia Dennon Wise, LICSW
Clinical Social Worker · Medford, MA
Practice location
17 Wyman St
Medford, MA 02155-3401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 119132 (MA) |
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 1295218758
Julia Dennon Wise, LICSW's National Provider Identifier is 1295218758, issued on Sep 11, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Medford, MA. The record was last updated on Sep 11, 2018.