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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN MICHELLE WILSON, LICSW

Active Sole Proprietor

SUSAN MICHELLE WILSON, LICSW is a Clinical Social Worker healthcare provider located in PEMBROKE, Massachusetts. NPI 1972710861 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PEMBROKE, MA

Registration Details

NPI Number
1972710861
Provider Type
Individual
Gender
Female
NPI Issued
May 17, 2007 (19.063969568187 yrs)
Last Updated
Jul 8, 2007
License
107040 (MA)
Sole Proprietor
Yes

Practice Information

Address
24 CHAMPION WAY
PEMBROKE, MA, 023592637
Browse MA providers · Browse ZIP 02359
Phone
7812936613
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in PEMBROKE, MA

Name Credential NPI
MS. JANICE ELAINE HOWARD LICSW 1154431468
SARAH JANE BENOIT LICSW 1801981295
DIANNA F. BANKS LICSW 1639240427
ELIZABETH M KARIOTIS-RICE MSW, LICSW 1265579973
MRS. NATALIE K. ROSENBERG MSW, LICSW, ACSW 1861617433
MARY A MAREK LCSW 1912128463
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.