Individual provider · Type 1 NPI
Jacob Wiltshire, LCSWA
Clinical Social Worker · Charlotte, NC
Practice location
101 E Wt Harris Blvd Ste 5500
Charlotte, NC 28262-3485
Fax (704) 863-6161
Mailing address
443 Ardmore Rd
Charlotte, NC 28209-1101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | P012451 (NC) |
| Clinical Social Worker Primary | 1041C0700X | P012451 (NC) |
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 1902423924
Jacob Wiltshire, LCSWA's National Provider Identifier is 1902423924, issued on Jun 26, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Jun 26, 2020.