Kimberly Moss Wilson, LCSW, CAADC is a
Social Worker - Clinical based in Decatur, Georgia. Kimberly Moss Wilson is licensed to practice in Georgia (license number CSW005573) and her current practice location is
1116 E Ponce De Leon Ave, Decatur, Georgia. She can be reached at her office (for appointments etc.) via phone at
(404) 377-7669.
NPI number for Kimberly Moss Wilson is 1700246709 and her current mailing address is 3921 Kensington Dr, Marietta, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700246709.
Healthcare Provider's Profile
Full Name | Kimberly Moss Wilson |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 1116 E Ponce De Leon Ave, Decatur, Georgia |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700246709
- Provider Enumeration Date: 03/03/2016
- Last Update Date: 06/24/2016
Medical Identifiers
Medical identifiers for Kimberly Moss Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700246709 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | C0159 (Georgia) | Secondary |
1041C0700X | Social Worker - Clinical | CSW005573 (Georgia) | 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. Kimberly Moss 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 |
Kimberly Moss Wilson, LCSW, CAADC 3921 Kensington Dr, Marietta, GA 30066-2535 Ph: (404) 936-1431 | Kimberly Moss Wilson, LCSW, CAADC 1116 E Ponce De Leon Ave, Decatur, GA 30030-2711 Ph: (404) 377-7669 |
Reviews and Comments