MRS. JAN EMILY WILEY-EGDALL MSW ,LICSW
NPI 1811198112
Social Worker - Clinical in Dorchester, MA

Active since May 31, 2007
1140 DORCHESTER AVE, DORCHESTER, MA 02125(617) 288-0907(617) 474-0757 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jan Emily Wiley-egdall Msw ,licsw NPPES

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

MRS. JAN EMILY WILEY-EGDALL MSW ,LICSW (NPI 1811198112) is an individual clinical provider in Dorchester, Massachusetts, licensed in Massachusetts (LICSW103621) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1811198112
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. JAN EMILY WILEY-EGDALLCredential: MSW ,LICSW
Location Address1140 DORCHESTER AVEDorchester, MA 02125-3305
Mailing Address8 Brookvale St, Apartment 2Dorchester Center, MA 02124-4810 · (617) 296-1238
Fax(617) 474-0757
Sole ProprietorNo
Enumeration DateMay 31, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1811198112 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 MA · LICSW103621
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.
1140 DORCHESTER AVE, Dorchester, MA 02125

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1140 DORCHESTER AVE
DORCHESTER, MA 02125
Registered Nurse (Home Health)
1140 DORCHESTER AVE
DORCHESTER, MA 02125
Occupational Therapy Assistant
1140 DORCHESTER AVE
DORCHESTER, MA 02125
Social Worker (Clinical)
1140 DORCHESTER AVE
BOSTON, MA 02125
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
1140 DORCHESTER AVE
DORCHESTER, MA 02125
Social Worker (Clinical)
1140 DORCHESTER AVE
DORCHESTER, MA 02125
Registered Nurse
1140 DORCHESTER AVE
DORCHESTER, MA 02125
Social Worker
1140 DORCHESTER AVE
DORCHESTER, MA 02125

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 Jan Wiley-egdall's NPI number?

The NPI number for Jan Wiley-egdall is 1811198112. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Jan Wiley-egdall located?

Jan Wiley-egdall practices at 1140 Dorchester Ave, Dorchester, MA 02125. The listed phone number is (617) 288-0907.

What is Jan Wiley-egdall'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 Jan Wiley-egdall was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.