James Richard Wilson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW18161 Issued in FL

Practice address

James Wilson, LCSW - SWS
7305 N Military TRL # 122
Riviera Beach, FL 33410-7417

Phone

(561) 422-5695

NPI assigned

Aug 20, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1013683960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JAMES WILSON, LCSW - SWS",
            "address_2": "7305 N MILITARY TRL # 122",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334107417",
            "telephone_number": "561-422-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JAMES WILSON, LCSW - SWS",
            "address_2": "7305 N MILITARY TRL # 122",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334107417",
            "telephone_number": "561-422-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JAMES",
        "middle_name": "RICHARD",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "james.wilson9@va.gov",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "James Wilson, LCSW - SWS",
            "address_2": "7305 N Military Trl # 122",
            "city": "Riviera Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334107417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jacqullia Whitlock
• Courtney Lynn Wickers, MS
• Kathryn Joy Wiles
• Clarissa Williams
• Juliana Williams, M.A.
• Roneisha Jamae Wilson, MSW
• Sara Elizabeth Windrem
• Tyiesha Wisdom
• Janet L Wise
• Douglas G Woersching, D.D.S.

• Clinical Social Worker in Riviera Beach, FL
• Providers in Riviera Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.