Kalkidan Wilson, SUDPT is a
Social Worker - Clinical based in Sedro Woolley, Washington. Kalkidan Wilson is licensed to practice in Washington (license number SC61460850) and her current practice location is
1960 Thompson Dr, Sedro Woolley, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 856-3186.
NPI number for Kalkidan Wilson is 1760138226 and her current mailing address is 7440 W Marginal Way S, Seattle, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760138226.
Healthcare Provider's Profile
| Full Name | Kalkidan Wilson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1960 Thompson Dr, Sedro Woolley, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1760138226
- Provider Enumeration Date: 02/23/2022
- Last Update Date: 10/10/2023
Medical Identifiers
Medical identifiers for Kalkidan Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760138226 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CO61265316 (Washington) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 61265316 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | SC61460850 (Washington) | 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. Kalkidan 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 |
|---|
Kalkidan Wilson, SUDPT
7440 W Marginal Way S,
Seattle, WA 98108-4141
Ph: () - | Kalkidan Wilson, SUDPT
1960 Thompson Dr,
Sedro Woolley, WA 98284-5007
Ph: (360) 856-3186 |
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