Active NPIIndividual providerSole proprietor

Jed Wilson

Social Worker, Clinical in Conway, New Hampshire

NPI Number1366831117
Practice location
90 Odell Hill RD, Conway, NH 03818-4401
Fax
603-730-9154
Last updated
November 7, 2024

Jed Wilson is a Social Worker, Clinical based in Conway, NH. Jed Wilson practices in Conway, NH. The NPI Number for Jed Wilson is 1366831117 and holds a License No. 2021 (NH). The current practice location address for Jed Wilson is 90 Odell Hill RD, Conway, NH 03818-4401 and can be reached out via phone at 603-730-9154 and via fax at 603-730-9154.

Provider Profile Details

NPI Number
1366831117
Provider Name
Jed Wilson
Provider Entity Type
Individual
Gender
Male
Address
90 Odell Hill RD, Conway, NH 03818-4401
Phone Number
603-730-9154
Fax Number
603-730-9154
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 16, 2015
Last Update Date
November 7, 2024
Certification Date
November 7, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
90 Odell Hill RD
Conway, NH 03818-4401
City
Conway
Zip
03818-4401
Phone Number
603-730-9154
Fax Number
603-730-9154
Conway, NH 03818Get directions →

Provider Business Mailing Address Details

Address
Po Box 111
Center Conway, NH 03813-0111
City
Center Conway
State
NH
Zip
03813-0111
Phone Number
603-730-9154
Fax Number
603-730-9154

License Information

License Number
2021
License State
NH
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 Jed Wilson?

The NPI number of Jed Wilson is 1366831117. It was assigned on January 16, 2015 and is currently active in the NPPES registry.

What is the specialty of Jed Wilson?

Jed Wilson is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NH under license number 2021.

Where does Jed Wilson practice?

The practice location is 90 Odell Hill RD, Conway, NH 03818-4401. The office can be reached at 603-730-9154 (phone) or 603-730-9154 (fax).

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 1366831117 directly on the NPPES registry website.

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