Wanda M Wilson, B.S., CCDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

2814 W 2ND St
Wilmington, DE 19805-1807

Phone

(302) 472-0381

Fax

(302) 472-0392

NPI assigned

Jan 25, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1225183387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W 4TH ST",
            "address_2": "2ND FLOOR (SUITE B)",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053367",
            "telephone_number": "302-472-0381",
            "fax_number": "302-472-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 W 2ND ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051807",
            "telephone_number": "302-472-0381",
            "fax_number": "302-472-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "WANDA",
        "middle_name": "M",
        "credential": "B.S., CCDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000039447",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nakiayah Wilson
• Priscill Wilson
• Rebecka Amanda Wilson, DO
• Samuel Earl Wilson, MD
• Tawana N Wilson, RN
• Alanna Winder-Mosley
• Damijta Wing, M.A., BCBA
• Brianna Ranee' Wingate, LPCMH
• Sarah Mae Wingler
• Cami Winkelspecht, PHD

• Addiction (Substance Use Disorder) Counselor in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Addiction (Substance Use Disorder) Counselor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.