Afiya Kashawn Wilson, BASW, TCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

277088 Issued in KY

Practice address

723 Hawkins Dr
Elizabethtown, KY 42701-1063

Phone

(270) 600-0276

NPI assigned

Jun 24, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1033841465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 CLIFTON RD",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831366",
            "telephone_number": "859-492-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 HAWKINS DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011063",
            "telephone_number": "270-600-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "AFIYA",
        "middle_name": "KASHAWN",
        "name_prefix": "Ms.",
        "credential": "BASW, TCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "277088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Marie Williams, APRN
• Ted Williams, PT, DPT
• Brad Williamson, TCADC
• Christina M Wills, N.P.
• Adena Nicole Wilson, APRN
• Amber Rae Wilson, APRN-BC
• Rita Wilson, CSW
• Tasha Wilson
• Tina L Wilson, ARNP RN
• Paul Dean Wimp, HEARING INSTRUMENT S

• Addiction (Substance Use Disorder) Counselor in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Addiction (Substance Use Disorder) Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.