Marquita D. Wilson in Baltimore - Clinical
Marquita D. Wilson - NPI 1093916264
Marquita D. Wilson is a Clinical in Baltimore, Maryland. Marquita D. Wilson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marquita D. Wilson is 1093916264. The last update date is 2019-02-22.
Marquita D. Wilson's current location address is 7924 Lansdale Rd, Baltimore, Maryland. You can contact this provider via phone number 4436911929 and fax number 4108871259. The mailing address for Marquita D. Wilson is 7924 Lansdale Rd, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marquita D. Wilson |
|---|---|
| Address | 7924 Lansdale Rd, Baltimore, Maryland |
| Phone Number | 4436911929 |
| Fax Number | 4108871259 |
| Sole Proprietor | N |
| Credentials | LCSW-C |
NPI Number Detail
| NPI Number | 1093916264 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2019-02-22 |
Provider Mailing Address Detail
| Address | 7924 Lansdale Rd |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212242121 |
| Phone Number | 4436911929 |
| Fax Number | 4108871259 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 14431 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G11755 | MD | -- | |
| 1093916264 | MD | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Marquita D. Wilson?
The Marquita D. Wilson has been issued the NPI (National Provider Identifier) 1093916264 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Marquita D. Wilson's facilities are geographically located?
The facilities of Marquita D. Wilson are physically situated at the following location: 7924 Lansdale Rd, Baltimore, MD, 212242121.
What is the Marquita D. Wilson's specialty and taxonomy code?
The Marquita D. Wilson's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date was the 1093916264 assigned to Marquita D. Wilson?
The Marquita D. Wilson was issued its 1093916264 on 2007-05-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Marquita D. Wilson's details last updated?
The information pertaining to the Marquita D. Wilson, including its address, specialty, and other details, was most recently updated on 2019-02-22.
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