Individual
JANET E WILSON
Active
Individual
JANET E WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWC
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05118
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020
BSDC
—
01
—
002125
VAL
—
01
—
150N
MBMD GROUP #
—
01
—
150N130G
MBMD
—
01
—
226291
KAIS
—
01
—
226756000
MAGE
—
01
—
252450
COMP GROUP #
—
01
—
253561
COMP
—
01
—
331833
MHN
—
01
—
391117
MAMS
—
01
—
52092404
BSMD
—
01
—
593795443
MAMS GROUP #
—
01
—
705BPS
BSMD GROUP #
—
01
—
790298000
MAGE GROUP #
—
01
—
9397886
PHCS
—
01
—
K452
BSDC GROUP #
—
01
—
PVPB117105
APS GROUP #
—
Enumeration date
06/09/2006
Last updated
06/21/2013
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