Bethany Rebecca Wilson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

68067 Issued in TX

Practice address

645 N Walnut Ave
New Braunfels, TX 78130-7925

Phone

(830) 306-0907

NPI assigned

Apr 5, 2022

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)

Not 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.

• Inmindout Emotional Wellness Center, LLC

  • Psychologist
  • New Braunfels, TX
  • NPI 1457799330
  NPD

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1376284430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 SUNDANCE PKWY APT 6323",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781300023",
            "telephone_number": "832-755-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N WALNUT AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307925",
            "telephone_number": "830-306-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BETHANY",
        "middle_name": "REBECCA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "68067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noelle Williams, D.O.
• Patrick Alan Williams, MD
• Willow Tree Counseling and Consulting, PLLC
• Amie T Wills, MS, RD, LD
• Autumn Raquelle Wilson
• Brittany Wilson
• Donna E Wilson
• Jadyn Monica Wilson
• Patrick Burke Wilson, PT, DPT, CSCS
• Charlene Wilts

• Clinical Social Worker in New Braunfels, TX
• Providers in New Braunfels, 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 Apr 5, 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.