NPI 1033418611

Jeanine Michelle Wilson, LICSW

Practitioner Clinical Social Worker Upper Marlboro, MD

Practice location

Address: 4809 Colonel Brooke CT, Upper Marlboro, MD 20772-2872
Phone: (410) 507-8183
Fax: (301) 780-3271

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LC50078965 (DC)

Other Social Worker providers in Maryland →

Registry record

NPI: 1033418611
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Mar 2011
Record last updated: 22 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.