Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jan Emily Wiley-Egdall, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1811198112

Mrs. Jan Emily Wiley-Egdall, MSW, LICSW is a Clinical Social Worker in Dorchester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.

Licensed in
MA
In the registry since
2007
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1140 Dorchester Ave
Dorchester, MA 02125-3305
Phone: (617) 288-0907
Fax: (617) 474-0757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LICSW103621 (MA)

Record details

NPI number1811198112
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedMay 31, 2007
Last updated in NPPESJuly 8, 2007

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