Individual provider · Type 1 NPI

Mallory Wilson

Clinical Social Worker · Riverside, CA

NPI number 1629311378 Active

Practice location

3576 Arlington Ave Ste 100
Riverside, CA 92506-3907

Other practice locations

  • 8019 Compton Ave, Los Angeles, CA 90001-3409 · (323) 586-7333

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X98202 (CA)

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 1629311378

Mallory Wilson's National Provider Identifier is 1629311378, issued on Apr 1, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Riverside, CA. The record was last updated on Jul 21, 2022.