Cecile Danette Wilson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R056650-1 Issued in NY

Practice address

2089 3Rd Ave
New York, NY 10029-2117

Phone

(212) 828-6174

Fax

(212) 828-6145

NPI assigned

May 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• C Danette Wilson Professional name

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.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730397365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 AUSTIN ST",
            "address_2": "#3-O",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151800",
            "telephone_number": "718-849-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100292117",
            "telephone_number": "212-828-6174",
            "fax_number": "212-828-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CECILE",
        "middle_name": "DANETTE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R056650-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C",
            "last_name": "WILSON",
            "middle_name": "DANETTE",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brandon Wilson
• Brenda Wilson
• Brian Wilson, R.N.
• Caroline Carleton Wilson, LCSW
• Carolyn Wilson
• Christina Grace Wilson, AGNP
• Constance Marie Wilson, CASAC-T
• Dana Wilson, NP
• Devan Clare Wilson, PA-C
• Edward W. Wilson, D.D.S.

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.