Individual provider · Type 1 NPI

Shelly Fulford Wilson, LCSW

Clinical Social Worker · Fernandina Beach, FL

NPI number 1295461648 Active

Practice location

2127 Blue Heron Ct
Fernandina Beach, FL 32034-4475

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW10273 (FL)

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 1295461648

Shelly Fulford Wilson, LCSW's National Provider Identifier is 1295461648, issued on Jul 28, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fernandina Beach, FL. The record was last updated on Jul 28, 2022.