Active NPI
Wilson Counseling, PLLC
- Clinical Social Worker
- Wake Forest, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C005679
- Legal business name
- WILSON COUNSELING, PLLC
- Practice address
- 853 Wake Forest Business Park Ste D
Wake Forest, NC 27587-6519 - Phone
- (919) 395-7110
- NPI assigned
- Sep 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Deanna M Wilson, MSW, LCSW
- Title
- Owner
- Phone
- (919) 395-7110
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C005679 | NC | Primary |
Addresses
Primary practice location
853 Wake Forest Business Park Ste D
Wake Forest, NC 27587-6519
Mailing address
3650 Rogers Rd
Ste 236
Wake Forest, NC 27587-9306
Phone (919) 395-7110
National Provider Directory
National Provider DirectoryLocations
853 Wake Forest Business Park
Ste D
Wake Forest, NC 27587
Phone (919) 395-7110
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Wake Forest, NC
- NPI 1124123484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296777600000",
"number": "1467769968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 ROGERS RD",
"address_2": "STE 236",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275879306",
"telephone_number": "919-395-7110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "853 WAKE FOREST BUSINESS PARK STE D",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275876519",
"telephone_number": "919-395-7110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILSON COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-03",
"last_updated": "2011-02-04",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "DEANNA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-395-7110",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSW, LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C005679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.