Individual provider · Type 1 NPI

James Kevin Wilson, LCSW

Clinical Social Worker · New York, NY

NPI number 1326201963 Active

Practice location

65 Broadway, 713
New York, NY 10006-2503

Fax (212) 430-3892

Mailing address

484 W 43rd St, 44M
New York, NY 10036-6319

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR053331-1 (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…

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About NPI 1326201963

James Kevin Wilson, LCSW's National Provider Identifier is 1326201963, issued on Jul 3, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Jul 3, 2008.