Darrel Scott Wilson
Individual provider Active NPI Peer Specialist · Clarksville, OH
NPI 1457200990 · NPPES record last updated Jan 27, 2026
Key facts
- NPI
- 1457200990
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- License
- APS.007057 (OH)
- Practice address
- 269 S 1St St
Clarksville, OH 45113-9654 - Phone
- (760) 820-4896
- NPI assigned
- Jan 27, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APS.007057 | OH | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | APS.007057 | OH | Yes |
Addresses
Primary practice location
269 S 1St St
Clarksville, OH 45113-9654
Mailing address
269 S 1St St
Clarksville, OH 45113-9654
Other providers in Clarksville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.