NPIMap

Organization Active NPI

Barbara L. Wilson, LCSW, PC

  • Clinical Social Worker
  • Fairbanks, AK
National Provider Identifier
1821108671
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
224 Issued in AK
Legal business name
BARBARA L. WILSON, LCSW, PC
Practice address
565 University Ave
Suite 3B
Fairbanks, AK 99709-3642
Phone
(907) 456-3233
Fax
(907) 456-3233
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Barbara R. Wilson, LCSWNPI 1780794537
Title
Owner
Phone
(907) 456-3233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 224 AK Primary

Addresses

Primary practice location

565 University Ave
Suite 3B
Fairbanks, AK 99709-3642

Mailing address

PO Box 80042
Fairbanks, AK 99708-0042
Phone (907) 456-3233

National Provider Directory

National Provider Directory

Locations

565 University Ave
Ste 3B
Fairbanks, AK 99709
Phone (907) 456-3233

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1821108671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80042",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997080042",
            "telephone_number": "907-456-3233",
            "fax_number": "907-456-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 UNIVERSITY AVE",
            "address_2": "SUITE 3B",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093642",
            "telephone_number": "907-456-3233",
            "fax_number": "907-456-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA L. WILSON, LCSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-456-3233",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

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