Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN R WILSON, LICSW
ActiveJORDAN R WILSON, LICSW is a Clinical Social Worker healthcare provider located in BOSTON, Massachusetts. NPI 1346898111 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · BOSTON, MA
Registration Details
- NPI Number
- 1346898111
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 26, 2019 (6.9861736888051 yrs)
- Last Updated
- Dec 12, 2024
- Licenses
-
122541 (MA)LCSW-18006 (AZ)
Practice Information
- Address
-
1340 BOYLSTON STBOSTON, MA, 022154302Browse MA providers · Browse ZIP 02215
- Phone
- 6172477555
- Fax
- 6172620872
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in BOSTON, MA
| Name | Credential | NPI |
|---|---|---|
| MR. CHARLES G MARTEL | L.I.C.S.W. | 1881690014 |
| KELLY FOURNIER | LICSW | 1750379780 |
| MR. ADAM GLICK | LICSW | 1134110489 |
| DR. AUDREY ADES | LICSW | 1144205675 |
| MS. LYNDA BETH SHUSTER | MSW, LICSW | 1497728232 |
| MS. MARY ANN SPARKS | MSW | 1053385740 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.