MS. Jennifer Wentworth Wilson, LCADC, LCSWC

NPI #1093120677 in Upperco, Maryland

Provider Information

NPI Number: 1093120677
Entity Type: Individual
Name: MS. Jennifer Wentworth Wilson, LCADC, LCSWC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCADC, LCSWC
Enumeration Date: Jun 23, 2014
Last Updated: Mar 3, 2023

Practice Location

Address: 16528 FALLS RD
City: Upperco
State: Maryland
ZIP Code: 21155-9483
Phone: (410) 868-0001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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