Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeanine Michelle Wilson, LICSW

Individual provider Clinical Social Worker · NPI 1033418611

Jeanine Michelle Wilson, LICSW is a Clinical Social Worker in Upper Marlboro, Maryland. Practices as a sole proprietor. Licensed in District of Columbia.

Licensed in
DC
In the registry since
2011
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

4809 Colonel Brooke Ct
Upper Marlboro, MD 20772-2872
Phone: (410) 507-8183
Fax: (301) 780-3271
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LC50078965 (DC)

Record details

NPI number1033418611
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMarch 22, 2011
Last updated in NPPESMarch 22, 2011

Other providers in Upper Marlboro