Mrs Kelly Ann Wilson, is a
Social Worker - Clinical based in Pomona, California. Mrs Kelly Ann Wilson is licensed to practice in California (license number 104732) and her current practice location is
831 E Arrow Hwy, Pomona, California. She can be reached at her office (for appointments etc.) via phone at
(909) 279-6516.
NPI number for Mrs Kelly Ann Wilson is 1528619160 and her current mailing address is 831 E Arrow Hwy, Pomona, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528619160.
Healthcare Provider's Profile
| Full Name | Mrs Kelly Ann Wilson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 831 E Arrow Hwy, Pomona, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1528619160
- Provider Enumeration Date: 09/25/2019
- Last Update Date: 09/06/2023
Medical Identifiers
Medical identifiers for Mrs Kelly Ann Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528619160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 104732 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 104732 (California) | 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. Mrs Kelly 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 |
|---|
Mrs Kelly Ann Wilson,
831 E Arrow Hwy,
Pomona, CA 91767-2535
Ph: (909) 279-6516 | Mrs Kelly Ann Wilson,
831 E Arrow Hwy,
Pomona, CA 91767-2535
Ph: (909) 279-6516 |
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