Evelyn Wilson, LCSW, CADC, SAP is a
Social Worker - Clinical based in Lakewood, New Jersey. Evelyn Wilson is licensed to practice in New York (license number R35525) and her current practice location is
Preferred Behavioral Health Cpsai, 700 Aiport Road, Lakewood, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(732) 367-4700.
NPI number for Evelyn Wilson is 1972646974 and her current mailing address is 209 W Hudson Ave, Englewood, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972646974.
Healthcare Provider's Profile
| Full Name | Evelyn Wilson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | Preferred Behavioral Health Cpsai, Lakewood, New Jersey |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1972646974
- Provider Enumeration Date: 02/15/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Evelyn Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972646974 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 498 (New York) | Primary |
| 1041C0700X | Social Worker - Clinical | R35525 (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. Evelyn 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 |
|---|
Evelyn Wilson, LCSW, CADC, SAP
209 W Hudson Ave,
Englewood, NJ 07631-1610
Ph: (201) 871-8611 | Evelyn Wilson, LCSW, CADC, SAP
Preferred Behavioral Health Cpsai, 700 Aiport Road,
Lakewood, NJ 08701
Ph: (732) 367-4700 |
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