Courtney H Wilson in Gloucester - Clinical

Courtney H Wilson - NPI 1801089826

Courtney H Wilson is a Clinical in Gloucester, Massachusetts. Courtney H Wilson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Courtney H Wilson is 1801089826. The last update date is 2007-08-22.

Courtney H Wilson's current location address is 298 Washington St, Gloucester, Massachusetts. You can contact this provider via phone number 9782830296. The mailing address for Courtney H Wilson is 298 Washington St, Gloucester, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Courtney H Wilson
Address 298 Washington St, Gloucester, Massachusetts
Phone Number 9782830296
Fax Number
Sole Proprietor N
Credentials LICSW

NPI Number Detail

NPI Number 1801089826
Provider Enumeration Date 2007-08-22
Last Updated Date 2007-08-22

Provider Mailing Address Detail

Address 298 Washington St
City Gloucester
State Massachusetts (MA)
Post Code 19304832
Phone Number 9782830296
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 111091
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
111091 MA LICSW LICENSE NUMBER

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FAQs about Courtney H Wilson

What is the unique 10-digit identification code issued to Courtney H Wilson by the Centers for Medicare & Medicaid Services?

The Courtney H Wilson has been assigned the NPI (National Provider Identifier) 1801089826 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Courtney H Wilson's facilities are geographically located?

The facilities of Courtney H Wilson are physically situated at the following location: 298 Washington St, Gloucester, MA, 19304832.

What is the Courtney H Wilson's area of specialization and corresponding taxonomy classification?

The Courtney H 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 did the Centers for Medicare & Medicaid Services issue the 1801089826 to Courtney H Wilson?

The Courtney H Wilson received its 1801089826 assignment from the Centers for Medicare & Medicaid Services on 2007-08-22.

As of what date were the details pertaining to Courtney H Wilson last refreshed?

The information related to the Courtney H Wilson, including its address, specialty, and other relevant details, was last updated on 2007-08-22.

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