Kelly L Wilson in Jackson - Social Worker

Kelly L Wilson - NPI 1275688137

Kelly L Wilson is a Social Worker in Jackson, Mississippi. Kelly L Wilson practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Kelly L Wilson is 1275688137. The last update date is 2007-09-23.

Kelly L Wilson's current location address is 200 N Congress St, Jackson, Mississippi. You can contact this provider via phone number 6013558634. The mailing address for Kelly L Wilson is 200 N Congress St, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly L Wilson
Address 200 N Congress St, Jackson, Mississippi
Phone Number 6013558634
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1275688137
Provider Enumeration Date 2007-01-23
Last Updated Date 2007-09-23

Provider Mailing Address Detail

Address 200 N Congress St
City Jackson
State Mississippi (MS)
Post Code 392011902
Phone Number 6013558634
Fax Number

Provider's Primary Taxonomy Detail

Speciality Social Worker
Taxonomy 104100000X
Licence No C5370
Definition:
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8135705 MS --

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FAQs about Kelly L Wilson

What is the unique identification code assigned to Kelly L Wilson by the Centers for Medicare & Medicaid Services?

The Kelly L Wilson has been issued the NPI (National Provider Identifier) 1275688137. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Kelly L Wilson's facilities are situated?

The facilities of Kelly L Wilson are physically located at the following address: 200 N Congress St, Jackson, MS, 392011902.

What is the Kelly L Wilson's area of specialization and corresponding taxonomy classification?

The Kelly L Wilson's specialty field is Social Worker, and it falls under the taxonomy code 104100000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1275688137 to Kelly L Wilson?

The Centers for Medicare & Medicaid Services assigned the 1275688137 to Kelly L Wilson on 2007-01-23.

As of what date was the information pertaining to Kelly L Wilson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kelly L Wilson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-09-23.

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