Active NPIIndividual providerSole proprietor

Ms. Theresa M Wilson, LICSW

Social Worker, Clinical in North Easton, Massachusetts

NPI Number1063816916
Practice location
138 Summer St, North Easton, MA 02356-2242
Fax
—
Last updated
October 21, 2014

Theresa Marie Wilson is a Social Worker, Clinical based in North Easton, MA. Theresa Marie Wilson practices in North Easton, MA and has the professional credentials of LICSW. The NPI Number for Theresa Marie Wilson is 1063816916 and holds a License No. 117772 (MA). The current practice location address for Theresa Marie Wilson is 138 Summer St, North Easton, MA 02356-2242 and can be reached out via phone at 508-238-9138.

Provider Profile Details

NPI Number
1063816916
Provider Name
Theresa Marie Wilson
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
138 Summer St, North Easton, MA 02356-2242
Phone Number
508-238-9138
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 21, 2014
Last Update Date
October 21, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
138 Summer St
North Easton, MA 02356-2242
Zip
02356-2242
Phone Number
508-238-9138
North Easton, MA 02356Get directions →

Provider Business Mailing Address Details

Address
138 Summer St
North Easton, MA 02356-2242
City
North Easton
State
MA
Zip
02356-2242
Phone Number
508-238-9138

License Information

License Number
117772
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Theresa M Wilson, LICSW?

The NPI number of Ms. Theresa M Wilson, LICSW is 1063816916. It was assigned on October 21, 2014 and is currently active in the NPPES registry.

What is the specialty of Ms. Theresa M Wilson, LICSW?

Ms. Theresa M Wilson, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 117772.

Where does Ms. Theresa M Wilson, LICSW practice?

The practice location is 138 Summer St, North Easton, MA 02356-2242. The office can be reached at 508-238-9138 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063816916 directly on the NPPES registry website.

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