Individual provider · Type 1 NPI

Samantha Wilson, LMSW

Clinical Social Worker · Jamaica, NY

NPI number 1417265679 Active

Practice location

16318 Jamaica Ave
Jamaica, NY 11432-4901

Mailing address

11425 203rd St
St. Albans, NY 11412-2814

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X72081755 (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 1417265679

Samantha Wilson, LMSW's National Provider Identifier is 1417265679, issued on Sep 21, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jamaica, NY. The record was last updated on Sep 21, 2010.