Beth G Wilson, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LICSW106007 Issued in MA

Practice address

Crossroads Counseling Inc
219 Washington St
Wellesley, MA 02481

Phone

(781) 431-2277

Fax

(781) 431-7770

NPI assigned

Dec 28, 2006

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952467714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CROSSROADS COUNSELING INC",
            "address_2": "219 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "02481",
            "telephone_number": "781-431-2277",
            "fax_number": "781-431-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CROSSROADS COUNSELING INC",
            "address_2": "219 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "02481",
            "telephone_number": "781-431-2277",
            "fax_number": "781-431-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BETH",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "LICSW106007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne M Wilkinson, M.D.
• Christopher Willard, PSY. D.
• William a. Mitchell Jr. MD PC
• William Mitchell Jr, LLC
• Willie L. Stephens, DDS, PC
• Kalin Wilson
• Rachel Elizabeth Wilson, FNP-BC
• Richard Marsh Wilson, PSY.D.
• Fern Wirth, M.D.
• Emily Michelle Wise, MD

• Social Worker in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.