Individual provider · Type 1 NPI
Kellie R. Wylie, LCSW
Clinical Social Worker · Austin, TX
Practice location
3700 N Hills Dr
Austin, TX 78731-3022
Fax (512) 887-3970
Mailing address
1221 W Ben White Blvd Ste 210A
Austin, TX 78704-7182
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 58307 (TX) |
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 1295293942
Kellie R. Wylie, LCSW's National Provider Identifier is 1295293942, issued on Mar 12, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Austin, TX. The record was last updated on Mar 12, 2019.