Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSICA WISE LCSW
NPI 1336762236
Social Worker - Clinical in Virginia Beach, VA

Active since May 26, 2020
409 COURAGE WAY, VIRGINIA BEACH, VA 23451(914) 629-2324 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessica Wise Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA WISE LCSW (NPI 1336762236) is an individual clinical provider in Virginia Beach, Virginia, licensed in Virginia (0904020324) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1336762236
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA WISECredential: LCSW
Location Address409 COURAGE WAYVirginia Beach, VA 23451-5594
Mailing Address409 Courage WayVirginia Beach, VA 23451-5594 · (914) 629-2324
Sole ProprietorYes
Enumeration DateMay 26, 2020
Last NPPES UpdateOctober 22, 2026
NPPES CertifiedOctober 22, 2026
✔ NPI 1336762236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in VA · 0904020324
Definition
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.
409 COURAGE WAY, Virginia Beach, VA 23451

Other Names 1

Former Name (1)Jessica Tavares

Other Identifiers 1

Other0N/a

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Wise's NPI number?

The NPI number for Jessica Wise is 1336762236. It was assigned to this individual provider in the NPPES registry on May 26, 2020. The provider is also known as Jessica Tavares.

Where is Jessica Wise located?

Jessica Wise practices at 409 Courage Way, Virginia Beach, VA 23451. The listed phone number is (914) 629-2324.

What is Jessica Wise's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jessica Wise was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.