Individual provider · Type 1 NPI

Nicole E. Wiley, LISW

Clinical Social Worker · St. Paul, MN

NPI number 1386811552 Active

Practice location

2270 Ford Pkwy Ste 106
St. Paul, MN 55116-3412

Fax (620) 926-1450

Mailing address

1730 Graham Ave # B151
St. Paul, MN 55116-3090

Other practice locations

  • 10000 Brecksville Rd, Brecksville, OH 44141-3204 · (440) 526-3030

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X29269 (MN)
Clinical Social Worker 1041C0700XI.1000113 (OH)

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 1386811552

Nicole E. Wiley, LISW's National Provider Identifier is 1386811552, issued on May 15, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Paul, MN. The record was last updated on Sep 22, 2026.