Individual
DR. SHANIKA LAVI WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DSW, LCAS, LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2795
NC
1041C0700X
Clinical Social Worker
007170
CT
1041C0700X
Clinical Social Worker
1880
SC
1041C0700X
Clinical Social Worker
18932
SC
1041C0700X
Clinical Social Worker
Primary
C006604
NC
1041C0700X
Clinical Social Worker
Q5-0000350
DE
Other
Enumeration date
03/27/2007
Last updated
06/19/2026
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