Stephanie E Wilson Lisw-S LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

STEPHANIE E WILSON LISW-S LLC

Practice address

90 S High St Ste E
Dublin, OH 43017-1171

Phone

(614) 579-9657

NPI assigned

Sep 12, 2022

Organization subpart

No

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

Authorized official

Name

Stephanie E Wilson, LISW-SNPI 1740576321

Title

Owner

Phone

(704) 576-8904

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie E Wilson, LISW-S

  • Clinical Social Worker
  • Dublin, OH
  • NPI 1740576321

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1033831649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8309 TRAIL LAKE DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658144",
            "telephone_number": "704-576-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 S HIGH ST STE E",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171171",
            "telephone_number": "614-579-9657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE E WILSON LISW-S LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-576-8904",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Dublin, OH
• Providers in Dublin, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.