Active NPI
Toresa Wilson, LCSW-C
- Clinical Social Worker
- Hagerstown, MD
National Provider Identifier
1154858595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 20238
- Practice address
- 201 Prospect Ave
Hagerstown, MD 21742 - Phone
- (240) 688-4178
- NPI assigned
- May 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 20238 | MD | Primary |
Addresses
Primary practice location
201 Prospect Ave
Hagerstown, MD 21742
Mailing address
201 Prospect Ave
Hagerstown, MD 21742-3204
Phone (240) 688-4178
Other practice location 1
208 W Patrick St
Frederick, MD 21701-5516
Phone (240) 688-4178
Other practice location 2
201 Prospect Ave
Hagerstown, MD 21742
Phone (240) 688-4178
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20238 | MD | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536624000000",
"number": "1154858595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 PROSPECT AVE",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217423204",
"telephone_number": "240-688-4178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 PROSPECT AVE",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "21742",
"telephone_number": "240-688-4178"
}
],
"practiceLocations": [
{
"address_1": "208 W Patrick St",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217015516",
"country_code": "US",
"telephone_number": "240-688-4178",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 Prospect Ave",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "21742",
"country_code": "US",
"telephone_number": "240-688-4178",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "TORESA",
"name_prefix": "Mrs.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-16",
"last_updated": "2018-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "20238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.