Kaitlyn Marie Wilson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P022941 Issued in NC

Practice address

3000 Bethesda PL Ste 501
Winston Salem, NC 27103-3327

Phone

(336) 332-2277

NPI assigned

Sep 16, 2025

Sex

Female

Sole proprietor

Yes

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": "1757980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1134090871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N TRADE ST APT 158",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271011454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BETHESDA PL STE 501",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033327",
            "telephone_number": "336-332-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KAITLYN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P022941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Johnston Wilson, MSN, APRN, FNP-C
• Jamie L. Wilson, MA,CCC-SLP
• John Allen Wilson Jr., MD
• John McFarland Wilson, M.D.
• John S. Wilson, M.D.
• Kimberly M Wilson, MSW,LCSW
• Loretta K Wilson, ANP
• McKenzie Laine Wilson, LCSW
• Megan Gauthey Wilson, M.S, CCC/SLP
• Michael Wilson, DPM

• Clinical Social Worker in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.