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BREANNA NICOLE WYLEY NPI 1053085654


NPI Information

NPI: 1053085654
Provider Name: BREANNA NICOLE WYLEY
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
3886 HENDERSON DR
JACKSONVILLE, NC
ZIP 28546
Phone: (910) 938-9833
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Breanna Nicole Wyley is a clinical social worker in Jacksonville, NC. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Breanna Nicole Wyley NPI is 1053085654. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3886 HENDERSON DR
JACKSONVILLE, NC
ZIP 28546-219
Phone: (910) 938-9833
Fax: (910) 938-9835

The enumeration date for this NPI number is 8/6/2021 and was last updated on 8/6/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalP016593NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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