Individual
MADISON D WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW, SAC-IT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18791-130
WI
104100000X
Social Worker
131669-121
WI
1041C0700X
Clinical Social Worker
Primary
18791
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100224192
—
WI
Enumeration date
01/14/2020
Last updated
12/29/2025
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