Individual provider · Type 1 NPI

Jan Emily Wiley-Egdall, MSW, LICSW

Clinical Social Worker · Dorchester, MA

NPI number 1811198112 Active

Practice location

1140 Dorchester Ave
Dorchester, MA 02125-3305

Call (617) 288-0907 Map

Fax (617) 474-0757

Mailing address

8 Brookvale St, Apartment 2
Dorchester Center, MA 02124-4810

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLICSW103621 (MA)

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 1811198112

Jan Emily Wiley-Egdall, MSW, LICSW's National Provider Identifier is 1811198112, issued on May 31, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dorchester, MA. The record was last updated on Jul 8, 2007.