Individual provider · Type 1 NPI

Mary Ann Wilson, LCSW-R

Clinical Social Worker · Penfield, NY

NPI number 1760664338 Active

Practice location

2130 Five Mile Line Rd
Penfield, NY 14526-2292

Call (585) 690-0890 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X072055 (NY)

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 1760664338

Mary Ann Wilson, LCSW-R's National Provider Identifier is 1760664338, issued on Dec 5, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Penfield, NY. The record was last updated on Jan 13, 2025.