Individual provider · Type 1 NPI

Jessica Wise

Clinical Social Worker · New York, NY

NPI number 1992678262 Active

Practice location

219 E 121st St
New York, NY 10035-3018

Mailing address

300 Ashland Pl
Brooklyn, NY 11217-3991

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X127811 (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 1992678262

Jessica Wise's National Provider Identifier is 1992678262, issued on Sep 24, 2025. 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 Oct 24, 2025.