Patricia R Wilson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C001745 Issued in NC

Practice address

220 East First Avenue Extension
Suite 10
Lexington, NC 27292-3355

Phone

(336) 242-2450

NPI assigned

Apr 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750402087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 CARAWOOD LN",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272957497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 EAST FIRST AVENUE EXTENSION",
            "address_2": "SUITE 10",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272923355",
            "telephone_number": "336-242-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "PATRICIA",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "C001745",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naomi Williams
• Selena Nicole Williams, LCMHCA
• Kaitlin Frankie Hoover Williamson, PA-C
• Amy Wilson, PTA
• Benjamin Lewis Wilson, M.D.
• Taylor Leigh Wilson, PA-C
• Meagan Reynolds Wingler, MD
• Cecily Winsor
• Women Crisis Center
• Brenda Woods, LCSWA

• Clinical Social Worker in Lexington, NC
• Providers in Lexington, 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 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.