Edward Arthur Wilson, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

073293-1 Issued in NY

Practice address

Delaware County Mental Health Clinic
One Hospital Road
Walton, NY 13856

Phone

(607) 865-6522

Fax

(607) 865-7424

NPI assigned

Oct 3, 2006

Sex

Male

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Delaware CountyGroup PAC ID 1254327380, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Delaware County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Walton, NY
  • NPI 1740375385

  NY

  Medicare reassignment Care Compare group NPD
• Delaware County

  • Public Health or Welfare Agency
  • Delhi, NY
  • NPI 1154689495
  NPD

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326133752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 KENT STREET",
            "city": "WINDSOR",
            "state": "NY",
            "postal_code": "13865",
            "telephone_number": "607-655-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DELAWARE COUNTY MENTAL HEALTH CLINIC",
            "address_2": "ONE HOSPITAL ROAD",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "13856",
            "telephone_number": "607-865-6522",
            "fax_number": "607-865-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "EDWARD",
        "middle_name": "ARTHUR",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073293-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walton Chiropractic
• Walton Dental PLLC
• Wilson Wells
• Graciela West, PA
• Melanie Wezkiewicz
• Peter Yang, MD
• Dara Yastrzemski, PMHNP
• Elaine Zacharczenko
• Connie Marie Zachow, LPN

• Clinical Social Worker in Walton, NY
• Providers in Walton, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.