Individual provider · Type 1 NPI

Jason M. Wildman

Clinical Social Worker · New York, NY

NPI number 1851624308 Active

Practice location

50 W 23rd St, 9th Floor
New York, NY 10010-5205

Call (212) 989-2990 Map

Fax (212) 792-6058

Mailing address

207 W 106th St, 7B
New York, NY 10025-3620

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X081674 (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 1851624308

Jason M. Wildman's National Provider Identifier is 1851624308, issued on Sep 16, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Mar 27, 2014.