Donna J Wilson, LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3839 Issued in KY

Legal business name

DONNA J WILSON, LCSW, PLLC

Practice address

73 Piedmont Dr
Whitesburg, KY 41858-7668

Phone

(727) 538-4208

Fax

(866) 341-7509

NPI assigned

Nov 24, 2014

Last updated

Mar 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donna J Wilson, LCSWNPI 1548576903

Title

Owner

Phone

(727) 538-4208

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donna Jane Wilson, LCSW

  • Clinical Social Worker
  • Bardstown, KY
  • NPI 1548576903
  NPD Authorized official

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1871990598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 PICARDY CT",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427013132",
            "telephone_number": "727-538-4208",
            "fax_number": "866-341-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 PIEDMONT DR",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587668",
            "telephone_number": "727-538-4208",
            "fax_number": "866-341-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA J WILSON, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-538-4208",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anjali Sanjay Desai, M.D.
• Keashia Dixon
• Sylvia Miranda Dixon, PT
• DJ Letcher Manor LLC (Letcher Manor)
• DJLM Operations, LLC
• Dr. Kevin Roark Family Dentistry, PSC
• East Kentucky Recovery, Inc
• Eastern Kentucky Integrated Health Care Inc
• Sravan Kumar Reddy Edamakanti, MD
• Cindy Marie Engle, PMHNP-G

• Clinical Social Worker in Whitesburg, KY
• Providers in Whitesburg, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.