Individual provider · Type 1 NPI

Theresa O. Wilson, LISW-S, SAP

Clinical Social Worker · Massillon, OH

NPI number 1821362286 Active

Practice location

130 1st St NW
Massillon, OH 44647-5452

Call (330) 833-0234 Map

Fax (330) 837-7705

Mailing address

625 Cleveland Ave NW
Canton, OH 44702-1805

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI.1000025-SUPV (OH)

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 1821362286

Theresa O. Wilson, LISW-S, SAP's National Provider Identifier is 1821362286, issued on Mar 2, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Massillon, OH. The record was last updated on Feb 7, 2024.