Paul D Wilson is a Clinical in Fort Wayne, Indiana. Paul D Wilson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Paul D Wilson is 1225072705. The last update date is 2007-07-08.
Paul D Wilson's current location address is 909 E State Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604812700 and fax number 2604812717. The mailing address for Paul D Wilson is 909 E State Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul D Wilson |
|---|---|
| Address | 909 E State Blvd, Fort Wayne, Indiana |
| Phone Number | 2604812700 |
| Fax Number | 2604812717 |
| Sole Proprietor | X |
| Credentials | MSSW, LMFT |
NPI Number Detail
| NPI Number | 1225072705 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 909 E State Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468053404 |
| Phone Number | 2604812700 |
| Fax Number | 2604812717 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34001911A |
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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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Post Comment/ Review Below
What is the unique identification code assigned to Paul D Wilson by the Centers for Medicare & Medicaid Services?
The Paul D Wilson has been issued the NPI (National Provider Identifier) 1225072705. 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 Paul D Wilson's facilities are situated?
The facilities of Paul D Wilson are physically located at the following address: 909 E State Blvd, Fort Wayne, IN, 468053404.
What is the Paul D Wilson's area of specialization and corresponding taxonomy classification?
The Paul D Wilson's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date was the 1225072705 assigned to Paul D Wilson?
The Paul D Wilson was issued its 1225072705 on 2006-06-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Paul D Wilson's information last updated?
The Paul D Wilson's information was last updated on 2007-07-08.
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