Rebecca Jean Wilson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

60386 Issued in TX

Practice address

2701 E Yandell Dr
El Paso, TX 79903-3726

Phone

(915) 562-1999

NPI assigned

Feb 8, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 17, 2024 through Oct 17, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/epcgc/r4/

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.

• El Paso Child Guidance Center

  • Clinical Social Worker
  • El Paso, TX
  • NPI 1164755807
  NPD (past)
• El Paso Child Guidance Center Inc

  • Case Management Agency
  • El Paso, TX
  • NPI 1962519710
  NPD (past)

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1821553330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 E YANDELL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799033726",
            "telephone_number": "915-562-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 E YANDELL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799033726",
            "telephone_number": "915-562-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "REBECCA",
        "middle_name": "JEAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "60386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Wilson, REGISTERED NURSE
• Jon M Wilson Jr., DPM
• Laura Wilson
• Lourdes Guzman Wilson, M.A., LPC
• Olivia Wilson
• Regina Ann Wilson
• Robert G Wilson, DMD
• Stephanie Wilson
• Tiffanie S Wilson, DMD
• Vivian Wilson

• Clinical Social Worker in El Paso, TX
• Providers in El Paso, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.