Individual provider · Type 1 NPI

Tara Jean Wise, LCSW

Clinical Social Worker · Worcester, MA

NPI number 1972131100 Active

Practice location

1 Eaton Pl
Worcester, MA 01608-1232

Call (508) 856-0732 Map

Fax (508) 425-5126

Mailing address

5 Neponset St Fl STREET2
Worcester, MA 01606-2714

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X224518 (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 1972131100

Tara Jean Wise, LCSW's National Provider Identifier is 1972131100, issued on Apr 1, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Worcester, MA. The record was last updated on Apr 1, 2020.