Ms Theresa Ann Wilson, LCSW is a
Social Worker - Clinical based in Polacca, Arizona. Ms Theresa Ann Wilson is licensed to practice in New York (license number 0698081) and her current practice location is
Milepost 388 Highway 264, Polacca, Arizona. She can be reached at her office (for appointments etc.) via phone at
(928) 737-6188.
NPI number for Ms Theresa Ann Wilson is 1295176733 and her current mailing address is Po Box 4000, Polacca, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295176733.
Healthcare Provider's Profile
Full Name | Ms Theresa Ann Wilson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | Milepost 388 Highway 264, Polacca, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295176733
- Provider Enumeration Date: 07/12/2013
- Last Update Date: 07/12/2013
Medical Identifiers
Medical identifiers for Ms Theresa Ann Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295176733 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 0698081 (New York) | 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. Ms Theresa Ann 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 |
Ms Theresa Ann Wilson, LCSW Po Box 4000, Polacca, AZ 86042-4000 Ph: (928) 737-6188 | Ms Theresa Ann Wilson, LCSW Milepost 388 Highway 264, Polacca, AZ 86042-4000 Ph: (928) 737-6188 |
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