Zachary A Wilson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LICSW111525 Issued in MA

Practice address

4 Mount Royal Ave Ste 4-360
Marlborough, MA 01752-1961

Phone

(978) 222-3121

NPI assigned

Aug 7, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1740835651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MOUNT ROYAL AVE STE 4-360",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521961",
            "telephone_number": "603-498-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MOUNT ROYAL AVE STE 4-360",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521961",
            "telephone_number": "978-222-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ZACHARY",
        "middle_name": "A",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-07",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW111525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Karen Wilson, M.S., BCBA
• Michelle Wilson, BEHAVIOR THERAPIST
• Rachael Wilson
• Sarah Irene Wilson
• Shannan Wilson Wilson
• Brittney Windham
• Keri Lea Windom
• Kimya Winkle
• Madison Winkler, RPH
• Donnette Wisdom

• Clinical Social Worker in Marlborough, MA
• Providers in Marlborough, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.