Individual provider · Type 1 NPI

Marilyn Gwen Wise, LICSW

Clinical Social Worker · Boston, MA

NPI number 1972631778 Active

Practice location

55 Fruit St. Wac 037, Mgh
Boston, MA 02114

Call (617) 726-2617 Map

Fax (617) 726-1042

Mailing address

31 Mount Vernon St
Cambridge, MA 02140-2702

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X105769 (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 1972631778

Marilyn Gwen Wise, LICSW's National Provider Identifier is 1972631778, issued on Mar 1, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boston, MA. The record was last updated on Jul 8, 2007.