Individual provider · Type 1 NPI

Julie Anne Wisher, LCSW

Clinical Social Worker · Ronkonkoma, NY

NPI number 1972019339 Active

Practice location

65 Air Park Dr
Ronkonkoma, NY 11779-7374

Call (631) 913-5391 Map

Mailing address

PO Box 114
Lake Grove, NY 11755-0114

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X098418 (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 1972019339

Julie Anne Wisher, LCSW's National Provider Identifier is 1972019339, issued on Dec 21, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ronkonkoma, NY. The record was last updated on Oct 13, 2026.