Juan Wilson, LCSW, LCAC is a
Counselor - Addiction (substance Use Disorder) based in Fishers, Indiana. Juan Wilson is licensed to practice in Indiana (license number 87001672A) and his current practice location is
9623 Windermere Blvd, Fishers, Indiana. He can be reached at his office (for appointments etc.) via phone at
(888) 416-4646.
NPI number for Juan Wilson is 1356059844 and his current mailing address is 101 Diamond Ln, Crawfordsville, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356059844.
Healthcare Provider's Profile
Full Name | Juan Wilson |
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Gender | Male |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 9623 Windermere Blvd, Fishers, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356059844
- Provider Enumeration Date: 11/14/2022
- Last Update Date: 05/11/2023
Medical Identifiers
Medical identifiers for Juan Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356059844 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 34010348A (Indiana) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 87001672A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Juan Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Juan Wilson, LCSW, LCAC 101 Diamond Ln, Crawfordsville, IN 47933-8320 Ph: (765) 918-3923 | Juan Wilson, LCSW, LCAC 9623 Windermere Blvd, Fishers, IN 46037-9180 Ph: (888) 416-4646 |
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