Trina Renee' Wilson in Acworth - Clinical

Trina Renee' Wilson - NPI 1548378631

Trina Renee' Wilson is a Clinical in Acworth, Georgia. Trina Renee' Wilson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Trina Renee' Wilson is 1548378631. The last update date is 2008-02-22.

Trina Renee' Wilson's current location address is 5955 Tibor Dr Nw, Acworth, Georgia. You can contact this provider via phone number 4049316535 and fax number 7704208101. The mailing address for Trina Renee' Wilson is 5955 Tibor Dr Nw, Acworth, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Trina Renee' Wilson
Address 5955 Tibor Dr Nw, Acworth, Georgia
Phone Number 4049316535
Fax Number 7704208101
Sole Proprietor Y
Credentials PHD, M.DIV

NPI Number Detail

NPI Number 1548378631
Provider Enumeration Date 2006-08-28
Last Updated Date 2008-02-22

Provider Mailing Address Detail

Address 5955 Tibor Dr Nw
City Acworth
State Georgia (GA)
Post Code 301016949
Phone Number 4049316535
Fax Number 7704208101

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 1764
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Trina Renee' Wilson

What is the unique provider identifier assigned to Trina Renee' Wilson?

The Trina Renee' Wilson has been issued the NPI (National Provider Identifier) 1548378631 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Trina Renee' Wilson is physically located?

The Trina Renee' Wilson is situated at the following address: 5955 Tibor Dr Nw, Acworth, GA 301016949.

What is Trina Renee' Wilson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Trina Renee' Wilson's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date did the Trina Renee' Wilson receive the assignment of its 1548378631 from the Centers for Medicare & Medicaid Services?

The Trina Renee' Wilson was issued its 1548378631 by the Centers for Medicare & Medicaid Services on 2006-08-28.

As of what date were the details related to Trina Renee' Wilson most recently updated or revised?

The information pertaining to Trina Renee' Wilson, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-22.

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