Boyd Wilson III, MSW, LCSWA, LCAS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P008067 Issued in NC

Practice address

106 Ridge View Dr Ste D
Cary, NC 27511-6647

Phone

(919) 801-5818

NPI assigned

Jun 8, 2015

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wilson Counseling Services, PLLC

  • Clinical Social Worker
  • Cary, NC
  • NPI 1811442353

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1669852224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11226 SLIDER DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146406",
            "telephone_number": "919-801-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 RIDGE VIEW DR STE D",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116647",
            "telephone_number": "919-801-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BOYD",
        "name_suffix": "III",
        "credential": "MSW, LCSWA, LCAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-20049",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P008067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy M Willoughby, BCBA
• Willow Creek Counseling Associates
• Wilson Counseling Services, PLLC
• Anne Wilson, MS, OT/L
• Billy Wilson Jr.
• Brett Lamond Wilson, MD
• Brittany Janae Wilson
• Ivory Wilson, CPT
• Juliana Wilson
• Kelsie Ellen Wilson, OD

• Clinical Social Worker in Cary, NC
• Providers in Cary, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.