Prof. Marilyn Gwen Wise, LICSW
Prof. Marilyn Gwen Wise, LICSW is a Clinical Social Worker in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.
- Licensed in
- MA
- In the registry since
- 2007
What do these letters mean?
- LICSW — Licensed Independent Clinical Social Worker
- The title some states use for an independently practising clinical social worker.
Practice location Address checks out
55 Fruit St Wac 037 MGHBoston, MA 02114 Not confirmed with CMS for 19 years — call before visiting
Phone: (617) 726-2617
Fax: (617) 726-1042
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 105769 (MA) |
|---|
Record details
| NPI number | 1972631778 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LICSW |
| Sole proprietor | Yes |
| NPI enumerated | March 1, 2007 |
| Last updated in NPPES | July 8, 2007 |
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