Individual provider · Type 1 NPI

Jacqueline Holley Wilson

Clinical Social Worker · Buford, GA

NPI number 1740846039 Active

Practice location

4305 S Lee St Ste 500
Buford, GA 30518-5785

Fax (770) 995-1959

Mailing address

3644 Buttercup Ct
Buford, GA 30519-1983

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1740846039

Jacqueline Holley Wilson's National Provider Identifier is 1740846039, issued on May 13, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Buford, GA. The record was last updated on Oct 17, 2023.