Active NPIIndividual provider

Ms. Susan A Wilson, LAC

Counselor, Mental Health in Fair Lawn, New Jersey

NPI Number1902303035
Practice location
22-08 Route 208, Fair Lawn, NJ 07410-2609
Fax
—
Last updated
April 5, 2018

Susan A Wilson is a Counselor, Mental Health based in Fair Lawn, NJ. Susan A Wilson practices in Fair Lawn, NJ and has the professional credentials of LAC. The NPI Number for Susan A Wilson is 1902303035 and holds a License No. 37AC00381600 (NJ). The current practice location address for Susan A Wilson is 22-08 Route 208, Fair Lawn, NJ 07410-2609 and can be reached out via phone at 201-956-6363.

Provider Profile Details

NPI Number
1902303035
Provider Name
Susan A Wilson
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
22-08 Route 208, Fair Lawn, NJ 07410-2609
Phone Number
201-956-6363
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
April 5, 2018
Last Update Date
April 5, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
22-08 Route 208
Fair Lawn, NJ 07410-2609
Zip
07410-2609
Phone Number
201-956-6363
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
1347 Paddington RD
Mahwah, NJ 07430-3258
City
Mahwah
State
NJ
Zip
07430-3258
Phone Number
551-427-3169

License Information

License Number
37AC00381600
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Ms. Susan A Wilson, LAC?

The NPI number of Ms. Susan A Wilson, LAC is 1902303035. It was assigned on April 5, 2018 and is currently active in the NPPES registry.

What is the specialty of Ms. Susan A Wilson, LAC?

Ms. Susan A Wilson, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00381600.

Where does Ms. Susan A Wilson, LAC practice?

The practice location is 22-08 Route 208, Fair Lawn, NJ 07410-2609. The office can be reached at 201-956-6363 (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 1902303035 directly on the NPPES registry website.

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