Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRODIE M WILSON, LMSW
ActiveBRODIE M WILSON, LMSW is a Social Worker healthcare provider located in ELLSWORTH AFB, South Dakota. NPI 1710658976 is currently active in the NPPES registry. Verify at CMS.
Social Worker · ELLSWORTH AFB, SD
Registration Details
- NPI Number
- 1710658976
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 27, 2021 (4.6939996912858 yrs)
- Last Updated
- Sep 25, 2023
- License
-
103451 (TX)
Practice Information
- Address
-
2900 DOOLITTLE DRELLSWORTH AFB, SD, 577064821Browse SD providers · Browse ZIP 57706
- Phone
- 6053853656
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in ELLSWORTH AFB, SD
| Name | Credential | NPI |
|---|---|---|
| JASON RAZAGHI | — | 1538973680 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.