Gregory C Wilson, LCSW
Individual provider Active NPI Clinical Social Worker · Triangle, VA
NPI 1932399151 · NPPES record last updated Aug 2, 2025
Key facts
- NPI
- 1932399151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0904005232 (VA)
- Practice address
- 3329 Lady Catherine Cir
Triangle, VA 22172-2331 - Phone
- (540) 670-0035
- NPI assigned
- Jul 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07100000782 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| 0710000782 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| 0904005232 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvest Counseling and Consulting | Clinical | Current |
Accepting new patients |
Locations
8306 Rugby Rd
Manassas Park, VA 20111
Phone (540) 670-0035
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0710000782 | VA | |
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | 07100000782 | VA | |
| Clinical Social Worker | 1041C0700X | 0904005232 | VA | Yes |
Addresses
Primary practice location
3329 Lady Catherine Cir
Triangle, VA 22172-2331
Mailing address
3329 Lady Catherine Cir
Triangle, VA 22172-2331
Phone (540) 670-0035
Other practice location 1
8306 Rugby Rd
Manassas Park, VA 20111-1912
Phone (757) 589-5519
Other providers in Triangle, VA
- Sit Awhile & Heal LLC
- Paul Allen Starner
- Victorine Tangwa
- Unique Residential LLC
- Veritas Billing & Health Management Services LLC
- Alex P Yadao
All providers in Triangle, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.