Whalio Doctors

NPI 1003124959

Rebecca Wilson, LCSW

Practitioner Clinical Social Worker Meriden, CT

Practice location

Address
134 State St, Meriden, CT 06450-3293
Phone
(203) 237-2229
Fax
(203) 686-1677
Mailing address
635 Main St Attn: Credentialing DPT, Middletown, CT 06457-2718

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 007391 (CT)

Registry record

NPI
1003124959
Entity type
Individual
Sex (as registered)
Female
NPI issued
14 Sep 2010
Record last updated
14 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.