Wanda Wilson, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WANDA WILSON, PLLC

Practice address

3770 E Amity Ave Unit 106
Nampa, ID 83687-1194

Phone

(208) 918-4894

NPI assigned

Feb 3, 2025

Organization subpart

No

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

Authorized official

Name

Wanda Wilson, LCSWNPI 1952640831

Title

Therapist

Phone

(208) 407-3251

Specialties & licenses 1

Addresses

Other names 1

• Atlas Therapy Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wanda L Wilson, LCSW

  • Clinical Social Worker
  • Boise, ID
  • NPI 1952640831
  NPD Authorized official

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1508670308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 S ACACIA ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837096683",
            "telephone_number": "208-407-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 E AMITY AVE UNIT 106",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836871194",
            "telephone_number": "208-918-4894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6615 S Acacia St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837096683",
            "country_code": "US",
            "telephone_number": "208-407-3251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WANDA WILSON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "208-407-3251",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlas Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atlas Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walmart Inc.
• Elizabeth Walsh
• Melissa A Walsh, PA-C
• Mindi M Walters, MS, CCC-SLP
• Courtney Wambeke
• Lori Wanman, MS, CCC-SLP
• Alexandra Ann Ware, MA
• Warhawk Senior Living LLC
• Anne Warner
• Thomas Robert Waskow, DDS

• Clinical Social Worker in Nampa, ID
• Providers in Nampa, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.