Individual provider · Type 1 NPI

Jessica Ann Wilson, LCSW

Clinical Social Worker · Lafayette, IN

NPI number 1689333221 Active

Practice location

1116 N 16th St
Lafayette, IN 47904-2119

Fax (765) 423-6301

Mailing address

PO Box 781076
Detroit, MI 48278-1008

Other practice locations

  • 127 Knox Dr, West Lafayette, IN 47906-2147 · (765) 426-6427

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34009419A (IN)

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 1689333221

Jessica Ann Wilson, LCSW's National Provider Identifier is 1689333221, issued on Dec 10, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lafayette, IN. The record was last updated on Nov 26, 2025.