Evelyn Wilson in Lakewood - Clinical

Evelyn Wilson - NPI 1972646974

Evelyn Wilson is a Clinical in Lakewood, New Jersey. Evelyn Wilson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Evelyn Wilson is 1972646974. The last update date is 2007-07-08.

Evelyn Wilson's current location address is Preferred Behavioral Health Cpsai, Lakewood, New Jersey. You can contact this provider via phone number 7323674700 and fax number 7323642253. The mailing address for Evelyn Wilson is Preferred Behavioral Health Cpsai, Lakewood, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Evelyn Wilson
Address Preferred Behavioral Health Cpsai, Lakewood, New Jersey
Phone Number 7323674700
Fax Number 7323642253
Sole Proprietor Y
Credentials LCSW, CADC

NPI Number Detail

NPI Number 1972646974
Provider Enumeration Date 2007-02-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Preferred Behavioral Health Cpsai
City Lakewood
State New Jersey (NJ)
Post Code 8701
Phone Number 7323674700
Fax Number 7323642253

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No R35525
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 Evelyn Wilson

What is the unique identifier code issued to Evelyn Wilson by the Centers for Medicare & Medicaid Services (CMS)?

The Evelyn Wilson has been assigned the NPI (National Provider Identifier) 1972646974. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Evelyn Wilson?

The Evelyn Wilson is physically situated at Preferred Behavioral Health Cpsai, in the city of Lakewood, state of NJ, with the postal code 8701.

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

The Evelyn 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 Evelyn Wilson receive the assignment of its 1972646974 from the Centers for Medicare & Medicaid Services?

The Evelyn Wilson was issued its 1972646974 by the Centers for Medicare & Medicaid Services on 2007-02-15.

When was the information pertaining to Evelyn Wilson most recently updated or revised?

The details related to Evelyn Wilson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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