Lori Sue Wilson, MSW, LISAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LISAC-11771 Issued in AZ

Practice address

2480 N Palo Verde Blvd
#103
Tucson, AZ 85716-2548

Phone

(520) 322-6980

NPI assigned

Feb 4, 2008

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 4, 2008.

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1629256409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7464 S NEVIL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857462565",
            "telephone_number": "520-883-6105",
            "fax_number": "520-883-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 N PALO VERDE BLVD",
            "address_2": "#103",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162548",
            "telephone_number": "520-322-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LORI",
        "middle_name": "SUE",
        "credential": "MSW, LISAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-11771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent J Wilson, PH.D.
• Kim Wilson, MD
• Kourtney Kelee Wilson, OTD
• Kristina Wilson
• Kurt Henry Wilson, DC
• Lucy Erma Wilson, PHD
• Margot Veronica Wilson, NURSE PRACTITIONER
• Matthew P Wilson, M.D.
• Megan Wilson, MD
• Michael Wilson, PTA

• All providers in Tucson, AZ
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.