Individual provider Active NPI

David V. Wilson II, LICSW

  • Social Worker
  • Spokane Valley, WA
National Provider Identifier
1851871602
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.1701052 Issued in KY
Practice address
511 N Argonne Rd Ste 201
Spokane Valley, WA 99212-2878
Phone
(863) 232-0670
NPI assigned
Aug 20, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1701052 KY Primary

Addresses

Primary practice location

511 N Argonne Rd Ste 201
Spokane Valley, WA 99212-2878

Mailing address

10921 Reed Hartman Hwy Ste 133
Blue Ash, OH 45242-2851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S.1701052KYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Therapy LLC Current Accepting new patients

Locations

511 N Argonne Rd
Ste 201
Spokane Valley, WA 99212
Phone (208) 446-6578

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1851871602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10921 REED HARTMAN HWY STE 133",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452422851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N ARGONNE RD STE 201",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122878",
            "telephone_number": "863-232-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DAVID",
        "middle_name": "V.",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-20",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "S.1701052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.