Paige Wilson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1034 23Rd St S
Birmingham, AL 35205-2481

Phone

(205) 289-7823

NPI assigned

Dec 26, 2020

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)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Resilience Trauma Therapy LLC

  • Clinical Social Worker
  • Birmingham, AL
  • NPI 1326774464
  NPD Authorized official
• Cheaha Regional Mental Health Mental Retardation Board, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sylacauga, AL
  • NPI 1275687451
  NPD

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

{
    "created_epoch": "1608940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659139200000",
    "number": "1306433222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "698 JOHNNYS CV",
            "city": "LEEDS",
            "state": "AL",
            "postal_code": "350946609",
            "telephone_number": "616-566-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 23RD ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052481",
            "telephone_number": "205-289-7823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1117 22nd St S Ste 207",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352052813",
            "country_code": "US",
            "telephone_number": "205-922-3429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "PAIGE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-26",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Marie Wilson
• Melinda Wilson, CRNP
• Melisa Wilson, M.D.
• Myra Lynette Wilson, ALC
• Noah Alexander Wilson
• Patricia Kellum Wilson, MSN, FNP
• Paula Wilson, PHARMD
• Peggy Calhoun Wilson, RPH
• Renda Wilson
• Sara Elizabeth Wilson, LICSW

• Clinical Social Worker in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.