Individual provider · Type 1 NPI

Charrisse Leiana Wilson, LCSW

Clinical Social Worker · Bloomsburg, PA

NPI number 1639853013 Active

Practice location

211 E 1st St
Bloomsburg, PA 17815-1405

Mailing address

27 Randolph Rd
Howell, NJ 07731-8611

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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…

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About NPI 1639853013

Charrisse Leiana Wilson, LCSW's National Provider Identifier is 1639853013, issued on Jun 14, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomsburg, PA. The record was last updated on Jun 14, 2023.