Individual provider · Type 1 NPI

Keanya Wilson, MSW, LICSW

Clinical Social Worker · Washington, DC

NPI number 1710534151 Active

Practice location

1200 1st St NE
Washington, DC 20002-3361

Other practice locations

  • 500 Ala Moana Blvd, Honolulu, HI 96813-4920 · (415) 424-4266
  • 222 E Witherspoon St, Louisville, KY 40202-6301 · (415) 424-4266
  • 16701 Melford Blvd Ste 400, Bowie, MD 20715-4411 · (415) 424-4266

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X18846 (MD)
Clinical Social Worker 1041C0700XLC50082179 (DC)
School Social Worker 1041S0200XNone listed
Clinical Social Worker Primary 1041C0700X256683 (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 1710534151

Keanya Wilson, MSW, LICSW's National Provider Identifier is 1710534151, issued on Aug 21, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Washington, DC. The record was last updated on May 8, 2025.