Individual provider · Type 1 NPI

Jacqueline Kathleen Wilson, LMSW-CC

Clinical Social Worker · Augusta, ME

NPI number 1750667804 Active

Practice location

72 Winthrop St
Augusta, ME 04330-5500

Call (207) 626-3455 Map

Fax (207) 626-7586

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XMC13106 (ME)

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 1750667804

Jacqueline Kathleen Wilson, LMSW-CC's National Provider Identifier is 1750667804, issued on Nov 2, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Augusta, ME. The record was last updated on Nov 10, 2013.