Individual provider · Type 1 NPI

Wesley Demarius Willis, PSY.D, LCSW-R, RN

Clinical Social Worker · New York, NY

NPI number 1629299664 Active

Practice location

1325 Avenue Of The Americas Fl 28
New York, NY 10019-6050

Call (212) 210-7533 Map

Other practice locations

  • 3663 N Sam Houston Pkwy E Ste 600, Houston, TX 77032-3611 · (212) 210-7533

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X076729 (NY)
Registered Nurse 163W00000X650621 (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 1629299664

Wesley Demarius Willis, PSY.D, LCSW-R, RN's National Provider Identifier is 1629299664, issued on May 1, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Oct 29, 2026.