Organization · Type 2 NPI
Wild Mind Therapy PLLC
Clinical Social Worker · Wilson, NY
Practice location
4648 Ide Rd
Wilson, NY 14172-9758
Mailing address
4662 Ide Rd
Wilson, NY 14172-9758
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
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…
About NPI 1437965100
Wild Mind Therapy PLLC's National Provider Identifier is 1437965100, issued on Dec 9, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wilson, NY. The record was last updated on Dec 9, 2024.