Active NPIIndividual providerSole proprietor

Mrs. Elisa J Wilson, LCSW

Social Worker, Clinical in Watertown, Connecticut

NPI Number1417128679
Practice location
51 Depot St, Suite 209, Watertown, CT 06795-2629
Fax
—
Last updated
July 5, 2011

Elisa Julia Theresa Wilson is a Social Worker, Clinical based in Watertown, CT. Elisa Julia Theresa Wilson practices in Watertown, CT and has the professional credentials of LCSW. The NPI Number for Elisa Julia Theresa Wilson is 1417128679 and holds a License No. 006575 (CT). The current practice location address for Elisa Julia Theresa Wilson is 51 Depot St, Suite 209, Watertown, CT 06795-2629 and can be reached out via phone at 203-347-5271.

Provider Profile Details

NPI Number
1417128679
Provider Name
Elisa Julia Theresa Wilson
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
51 Depot St, Suite 209, Watertown, CT 06795-2629
Phone Number
203-347-5271
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 17, 2008
Last Update Date
July 5, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
51 Depot St
Suite 209
Watertown, CT 06795-2629
Zip
06795-2629
Phone Number
203-347-5271
Watertown, CT 06795Get directions →

Provider Business Mailing Address Details

Address
51 Depot St
Suite 209
Watertown, CT 06795-2629
City
Watertown
State
CT
Zip
06795-2629
Phone Number
203-347-5271

License Information

License Number
006575
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 Mrs. Elisa J Wilson, LCSW?

The NPI number of Mrs. Elisa J Wilson, LCSW is 1417128679. It was assigned on March 17, 2008 and is currently active in the NPPES registry.

What is the specialty of Mrs. Elisa J Wilson, LCSW?

Mrs. Elisa J Wilson, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 006575.

Where does Mrs. Elisa J Wilson, LCSW practice?

The practice location is 51 Depot St, Suite 209, Watertown, CT 06795-2629. The office can be reached at 203-347-5271 (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 1417128679 directly on the NPPES registry website.

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