Individual provider · Type 1 NPI

Kimberly Moss Wilson, LCSW, CAADC

Clinical Social Worker · Decatur, GA

NPI number 1700246709 Active

Practice location

1116 E Ponce De Leon Ave
Decatur, GA 30030-2711

Call (404) 377-7669 Map

Fax (404) 377-8536

Mailing address

3921 Kensington Dr
Marietta, GA 30066-2535

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XC0159 (GA)
Clinical Social Worker Primary 1041C0700XCSW005573 (GA)

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 1700246709

Kimberly Moss Wilson, LCSW, CAADC's National Provider Identifier is 1700246709, issued on Mar 3, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Decatur, GA. The record was last updated on Jun 24, 2016.