Maya Jean Wilson, LICSW

Clinical Social Worker · Bremerton, WA

Individual Active NPI

NPI number 1174632905

Practice location

925 Adele Ave
Bremerton, WA 98312-3521
Phone
(360) 782-0129
Fax
(360) 377-8029

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NPI record

NPI
1174632905
Entity type
Individual (Type 1)
Enumeration date
August 29, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X LW00005134 WA

About Maya Wilson

Maya Jean Wilson, LICSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 925 Adele Ave, Bremerton, WA 98312-3521. The NPI number 1174632905 was assigned on August 29, 2006 and the record was last updated on July 8, 2007.

Maya Wilson lists a license in the registry: #LW00005134 (WA) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Maya Jean Wilson, LICSW?

The NPI number is 1174632905.

What is the phone number of Maya Wilson?

The phone number listed for the practice location is (360) 782-0129.

Where is Maya Wilson located?

925 Adele Ave, Bremerton, WA 98312-3521.

What is the taxonomy code for Maya Wilson?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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