Individual provider · Type 1 NPI

Jennifer Mary Wixted, LCSW, CAP

Clinical Social Worker · Sanford, FL

NPI number 1699963587 Active

Practice location

300 S Bay Ave
Sanford, FL 32771-2141

Call (407) 321-4357 Map

Fax (407) 324-9055

Mailing address

14139 Turning Leaf Dr
Orlando, FL 32828-7488

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Clinical Social Worker Primary 1041C0700XSW9852 (FL)

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 1699963587

Jennifer Mary Wixted, LCSW, CAP's National Provider Identifier is 1699963587, issued on Oct 4, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sanford, FL. The record was last updated on Mar 18, 2016.