Cynthia L. Wilson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00008209 Issued in WA

Practice address

3580 Pacific Ave
Tacoma, WA 98418-7915

Phone

(253) 798-4500

Fax

(253) 798-4255

NPI assigned

Jul 13, 2007

Last updated

Feb 13, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1427257088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984187915",
            "telephone_number": "253-798-4500",
            "fax_number": "253-798-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984187915",
            "telephone_number": "253-798-4500",
            "fax_number": "253-798-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CYNTHIA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00008209",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00029226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Thomas Wilson, MD
• Bruce A. Wilson, M.D.
• Bryan Wilson, MD
• Carl Wilson, B.A
• Chantel Marie Wilson, LMP
• David Wilson, MD
• Elisabeth Esmiol Wilson, LMFT
• Emily Lavis Wilson, PT, DPT
• Heather Suzanne Wilson, LMP
• Jaime A B Wilson, PH.D., ABPP, MSCP

• Clinical Social Worker in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.