Individual provider · Type 1 NPI

Michael E. Wiley, LCSW

Clinical Social Worker · Caldwell, ID

NPI number 1396964839 Active

Practice location

2805 Blaine St, Ste 120
Caldwell, ID 83605-4599

Fax (208) 454-7296

Mailing address

5563 W Lucky Dr
Boise, ID 83703-3188

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-804 (ID)

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 1396964839

Michael E. Wiley, LCSW's National Provider Identifier is 1396964839, issued on Apr 24, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Caldwell, ID. The record was last updated on Mar 8, 2011.