Dr Trina Renee' Wilson, PHD, MDIV, LCSW is a
Social Worker - Clinical based in Marietta, Georgia. Dr Trina Renee' Wilson is licensed to practice in Georgia (license number 1764) and her current practice location is
617 Roswell St Ne, Marietta, Georgia. She can be reached at her office (for appointments etc.) via phone at
(404) 931-6535.
NPI number for Dr Trina Renee' Wilson is 1548378631 and her current mailing address is 5955 Tibor Dr Nw, Acworth, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548378631.
Healthcare Provider's Profile
| Full Name | Dr Trina Renee' Wilson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 617 Roswell St Ne, Marietta, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1548378631
- Provider Enumeration Date: 08/28/2006
- Last Update Date: 02/22/2008
Medical Identifiers
Medical identifiers for Dr Trina Renee' Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548378631 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 1764 (Georgia) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1764 (Georgia) | Secondary |
| 101YM0800X | Counselor - Mental Health | 1764 (Georgia) | Secondary |
| 101YP1600X | Counselor - Pastoral | 1764 (Georgia) | Secondary |
| 101YP2500X | Counselor - Professional | 1764 (Georgia) | Secondary |
| 101YS0200X | Counselor - School | 1764 (Georgia) | Secondary |
| 104100000X | Social Worker | 1764 (Georgia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1764 (Georgia) | Primary |
| 1041S0200X | Social Worker - School | 1764 (Georgia) | Secondary |
| 106H00000X | Marriage & Family Therapist | 1764 (Georgia) | Secondary |
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. Dr Trina Renee' 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 |
|---|
Dr Trina Renee' Wilson, PHD, MDIV, LCSW
5955 Tibor Dr Nw,
Acworth, GA 30101-6949
Ph: (404) 931-6535 | Dr Trina Renee' Wilson, PHD, MDIV, LCSW
617 Roswell St Ne,
Marietta, GA 30060-3502
Ph: (404) 931-6535 |
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