Individual provider · Type 1 NPI
Gary Wickham
Clinical Social Worker · Brooklyn, NY
Practice location
122 Ashland Pl Apt 16F
Brooklyn, NY 11201-3912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 058227 (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 1780277186
Gary Wickham's National Provider Identifier is 1780277186, issued on Feb 17, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brooklyn, NY. The record was last updated on Feb 17, 2021.