Active NPIIndividual providerSole proprietor

Ray S Wilson, LCSW

Social Worker, Clinical in Middlebury, Connecticut

NPI Number1245996719
Practice location
20 Woodside Ave, Middlebury, CT 06762-2857
Fax
—
Last updated
November 9, 2021

Ray Sean Wilson is a Social Worker, Clinical based in Middlebury, CT. Ray Sean Wilson practices in Middlebury, CT and has the professional credentials of LCSW. The NPI Number for Ray Sean Wilson is 1245996719 and holds a License No. 11832 (CT). The current practice location address for Ray Sean Wilson is 20 Woodside Ave, Middlebury, CT 06762-2857 and can be reached out via phone at 203-675-5371.

Provider Profile Details

NPI Number
1245996719
Provider Name
Ray Sean Wilson
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
20 Woodside Ave, Middlebury, CT 06762-2857
Phone Number
203-675-5371
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 9, 2021
Last Update Date
November 9, 2021
Certification Date
November 9, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Woodside Ave
Middlebury, CT 06762-2857
Zip
06762-2857
Phone Number
203-675-5371
Middlebury, CT 06762Get directions →

Provider Business Mailing Address Details

Address
11 Lavery Ln
Berlin, CT 06037-1272
City
Berlin
State
CT
Zip
06037-1272
Phone Number
203-675-5371

License Information

License Number
11832
License State
CT
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 Ray S Wilson, LCSW?

The NPI number of Ray S Wilson, LCSW is 1245996719. It was assigned on November 9, 2021 and is currently active in the NPPES registry.

What is the specialty of Ray S Wilson, LCSW?

Ray S Wilson, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 11832.

Where does Ray S Wilson, LCSW practice?

The practice location is 20 Woodside Ave, Middlebury, CT 06762-2857. The office can be reached at 203-675-5371 (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 1245996719 directly on the NPPES registry website.

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