Active NPIIndividual providerSole proprietor

Harvey T Wilson, LICSW

Counselor, Mental Health in Provincetown, Massachusetts

NPI Number1104307412
Practice location
21 Bayberry Ave, Provincetown, MA 02657-1214
Fax
—
Last updated
August 24, 2018

Harvey Taylor Wilson is a Counselor, Mental Health based in Provincetown, MA. Harvey Taylor Wilson practices in Provincetown, MA and has the professional credentials of LICSW. The NPI Number for Harvey Taylor Wilson is 1104307412 and holds a License No. 1016242-SW-LICSW (MA). The current practice location address for Harvey Taylor Wilson is 21 Bayberry Ave, Provincetown, MA 02657-1214 and can be reached out via phone at 508-487-2735.

Provider Profile Details

NPI Number
1104307412
Provider Name
Harvey Taylor Wilson
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
21 Bayberry Ave, Provincetown, MA 02657-1214
Phone Number
508-487-2735
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
August 24, 2018
Last Update Date
August 24, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Bayberry Ave
Provincetown, MA 02657-1214
Zip
02657-1214
Phone Number
508-487-2735
Provincetown, MA 02657Get directions →

Provider Business Mailing Address Details

Address
21 Bayberry Ave
Provincetown, MA 02657-1214
City
Provincetown
State
MA
Zip
02657-1214
Phone Number
508-487-2735

License Information

License Number
1016242-SW-LICSW
License State
MA
Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Harvey T Wilson, LICSW?

The NPI number of Harvey T Wilson, LICSW is 1104307412. It was assigned on August 24, 2018 and is currently active in the NPPES registry.

What is the specialty of Harvey T Wilson, LICSW?

Harvey T Wilson, LICSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 1016242-SW-LICSW.

Where does Harvey T Wilson, LICSW practice?

The practice location is 21 Bayberry Ave, Provincetown, MA 02657-1214. The office can be reached at 508-487-2735 (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 1104307412 directly on the NPPES registry website.

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