Individual provider · Type 1 NPI

Preston Tyler Wholley, LCSW

Clinical Social Worker · New York, NY

NPI number 1326465360 Active

Practice location

169 W 133rd St
New York, NY 10030

Other practice locations

  • 123-125 West. 124th St, New York, NY 10027 · (212) 531-1300

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Clinical Social Worker 1041C0700X089557 (NY)
Clinical Social Worker Primary 1041C0700X085020 (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 1326465360

Preston Tyler Wholley, LCSW's National Provider Identifier is 1326465360, issued on Mar 27, 2014. 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 Jun 11, 2018.