Individual provider · Type 1 NPI

Jo Evelyn Wilder, LCSW

Clinical Social Worker · California, KY

NPI number 1699104257 Active

Practice location

9599 Summer Hill Rd
California, KY 41007-9055

Fax (859) 635-0504

Mailing address

4380 Baton Rouge Rd
Williamstown, KY 41097-3067

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1712 (KY)

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 1699104257

Jo Evelyn Wilder, LCSW's National Provider Identifier is 1699104257, issued on Nov 4, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in California, KY. The record was last updated on Nov 4, 2013.