Active NPIIndividual providerSole proprietor

Penelope Wilson, LCSW, EDM

Social Worker, Clinical in Darien, Connecticut

NPI Number1114257805
Practice location
30 Old Kings Hwy S, Darien, CT 06820-4551
Fax
—
Last updated
January 8, 2020

Penelope Wilson is a Social Worker, Clinical based in Darien, CT. Penelope Wilson practices in Darien, CT and has the professional credentials of LCSW, EDM. The NPI Number for Penelope Wilson is 1114257805 and holds a License No. 075598-1 (NY). The current practice location address for Penelope Wilson is 30 Old Kings Hwy S, Darien, CT 06820-4551 and can be reached out via phone at 203-300-6655.

Provider Profile Details

NPI Number
1114257805
Provider Name
Penelope Wilson
Credential
LCSW, EDM
Provider Entity Type
Individual
Gender
Female
Address
30 Old Kings Hwy S, Darien, CT 06820-4551
Phone Number
203-300-6655
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
-- Penelope Wilson, PWILSON LCSW (Professional Name)
Provider Enumeration Date
January 4, 2010
Last Update Date
January 8, 2020
Certification Date
January 8, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Old Kings Hwy S
Darien, CT 06820-4551
City
Darien
Zip
06820-4551
Phone Number
203-300-6655
Darien, CT 06820Get directions →

Provider Business Mailing Address Details

Address
Po Box 116
Darien, CT 06820-0616
City
Darien
State
CT
Zip
06820-0616
Phone Number
203-300-6655

License Information

License Number
075598-1
License State
NY
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 Penelope Wilson, LCSW, EDM?

The NPI number of Penelope Wilson, LCSW, EDM is 1114257805. It was assigned on January 4, 2010 and is currently active in the NPPES registry.

What is the specialty of Penelope Wilson, LCSW, EDM?

Penelope Wilson, LCSW, EDM is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 075598-1.

Where does Penelope Wilson, LCSW, EDM practice?

The practice location is 30 Old Kings Hwy S, Darien, CT 06820-4551. The office can be reached at 203-300-6655 (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 1114257805 directly on the NPPES registry website.

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