Daphne Elizabeth Wilson, MSSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8950 Issued in TX

Practice address

3815 Lisbon St
Suite 202
Fort Worth, TX 76107-5601

Phone

(817) 738-3171

Fax

(817) 738-4773

NPI assigned

Apr 14, 2007

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

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336364587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 LISBON ST",
            "address_2": "SUITE 202",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075601",
            "telephone_number": "817-738-3171",
            "fax_number": "817-738-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 LISBON ST",
            "address_2": "SUITE 202",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075601",
            "telephone_number": "817-738-3171",
            "fax_number": "817-738-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DAPHNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MSSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "8950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Wilson, LPC-I
• Courtney Wilson, LPC
• Courtney Laine Wilson, LCSW
• Courtney Lynn Wilson, NNP
• Cynthia Blair Wilson, PT, DPT
• David B Wilson, M.D.
• David Bradford Wilson, LSA, CST/CFA
• Destonee Wilson, PA-C
• Diana Elizabeth Wilson, M.D.
• Donnie P. Wilson, M.D.

• Clinical Social Worker in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Social Worker in Texas

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.