Active NPIIndividual providerSole proprietor

Ms. Carmen Wilson, MSW, LICSW

Social Worker in Oak Bluffs, Massachusetts

NPI Number1104947696
Practice location
1 Tradewinds RD, Oak Bluffs, Oak Bluffs, MA 02557-1325
Fax
—
Last updated
July 8, 2007

Carmen Wilson is a Social Worker based in Oak Bluffs, MA. Carmen Wilson practices in Oak Bluffs, MA and has the professional credentials of MSW, LICSW. The NPI Number for Carmen Wilson is 1104947696 and holds a License No. 140745 (MA). The current practice location address for Carmen Wilson is 1 Tradewinds RD, Oak Bluffs, Oak Bluffs, MA 02557-1325 and can be reached out via phone at 508-693-7403.

Provider Profile Details

NPI Number
1104947696
Provider Name
Carmen Wilson
Credential
MSW, LICSW
Provider Entity Type
Individual
Gender
Female
Address
1 Tradewinds RD, Oak Bluffs, Oak Bluffs, MA 02557-1325
Phone Number
508-693-7403
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
April 2, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Tradewinds RD
Oak Bluffs
Oak Bluffs, MA 02557-1325
Zip
02557-1325
Phone Number
508-693-7403
Oak Bluffs, MA 02557Get directions →

Provider Business Mailing Address Details

Address
Po Box 758
West Tisbury, MA 02575-0758
City
West Tisbury
State
MA
Zip
02575-0758
Phone Number
508-693-7403

License Information

License Number
140745
License State
MA
Taxonomy
Social Worker · 104100000X · 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. Carmen Wilson, MSW, LICSW?

The NPI number of Ms. Carmen Wilson, MSW, LICSW is 1104947696. It was assigned on April 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Carmen Wilson, MSW, LICSW?

Ms. Carmen Wilson, MSW, LICSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MA under license number 140745.

Where does Ms. Carmen Wilson, MSW, LICSW practice?

The practice location is 1 Tradewinds RD, Oak Bluffs, Oak Bluffs, MA 02557-1325. The office can be reached at 508-693-7403 (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 1104947696 directly on the NPPES registry website.

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