Organization
JENNIFER WILSON LCSWC LCADC LLC
Active
Organization
JENNIFER WILSON LCSWC LCADC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER W WILSON LCSWC, LCADC (OWNER)
(410) 868-0001
Entity
Organization
Contact information
Practice address
9199 REISTERSTOWN RD STE 202B, OWINGS MILLS, MD 21117-4579
(410) 868-0001
Mailing address
16528 FALLS RD, UPPERCO, MD 21155-9483
(410) 868-0001
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA2105
MD
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
18028
MD
Other
Enumeration date
09/03/2018
Last updated
03/03/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up