Andre Wilson
Case Manager/Care Coordinator in Dorchester, Massachusetts
1386410785- Practice location
- 12 Southern Ave, Dorchester, MA 02124-2012
- Phone
- 617-708-0870
- Fax
- —
- Last updated
- November 28, 2023
Andre Wilson is a Case Manager/Care Coordinator based in Dorchester, MA. Andre Wilson practices in Dorchester, MA. The NPI Number for Andre Wilson is 1386410785. The current practice location address for Andre Wilson is 12 Southern Ave, Dorchester, MA 02124-2012 and can be reached out via phone at 617-708-0870.
Provider Profile Details
- NPI Number
- 1386410785
- Provider Name
- Andre Wilson
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 12 Southern Ave, Dorchester, MA 02124-2012
- Phone Number
- 617-708-0870
- Primary Taxonomy
- Case Manager/Care Coordinator · 171M00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 28, 2023
- Last Update Date
- November 28, 2023
- Certification Date
- November 28, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Southern Ave
Dorchester, MA 02124-2012 - City
- Dorchester
- State
- Massachusetts
- Zip
- 02124-2012
- Phone Number
- 617-708-0870
Provider Business Mailing Address Details
- Address
- 38 Tileston St
Hyde Park, MA 02136-6071 - City
- Hyde Park
- State
- MA
- Zip
- 02136-6071
License Information
- Taxonomy
- Case Manager/Care Coordinator · 171M00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Andre Wilson?
The NPI number of Andre Wilson is 1386410785. It was assigned on November 28, 2023 and is currently active in the NPPES registry.
What is the specialty of Andre Wilson?
Andre Wilson is registered under the primary taxonomy Case Manager/Care Coordinator (code 171M00000X).
Where does Andre Wilson practice?
The practice location is 12 Southern Ave, Dorchester, MA 02124-2012. The office can be reached at 617-708-0870 (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 1386410785 directly on the NPPES registry website.