Individual provider · Type 1 NPI

Jordan R. Wilson, LICSW

Clinical Social Worker · Boston, MA

NPI number 1346898111 Active

Practice location

1340 Boylston St
Boston, MA 02215-4302

Call (617) 247-7555 Map

Fax (617) 262-0872

Other practice locations

  • 4909 E Mcdowell Rd, Phoenix, AZ 85008-4227 · (602) 685-6000

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X122541 (MA)
Clinical Social Worker 1041C0700XLCSW-18006 (AZ)

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 1346898111

Jordan R. Wilson, LICSW's National Provider Identifier is 1346898111, issued on Aug 26, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boston, MA. The record was last updated on Dec 12, 2024.