Reginald Calvert Wilson Jr, is a
Social Worker - Clinical based in Durham, North Carolina. Reginald Calvert Wilson Jr is licensed to practice in North Carolina (license number P013752) and his current practice location is
1502 W Nc Highway 54 Ste 403, Durham, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(919) 418-1718.
NPI number for Reginald Calvert Wilson Jr is 1720619414 and his current mailing address is 520 Calloway Dr, Raleigh, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720619414.
Healthcare Provider's Profile
| Full Name | Reginald Calvert Wilson Jr |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1502 W Nc Highway 54 Ste 403, Durham, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720619414
- Provider Enumeration Date: 01/31/2020
- Last Update Date: 12/15/2020
Medical Identifiers
Medical identifiers for Reginald Calvert Wilson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720619414 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | P013752 (North Carolina) | 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. Reginald Calvert Wilson Jr 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 |
|---|
Reginald Calvert Wilson Jr,
520 Calloway Dr,
Raleigh, NC 27610-4008
Ph: (919) 412-2662 | Reginald Calvert Wilson Jr,
1502 W Nc Highway 54 Ste 403,
Durham, NC 27707-5599
Ph: (919) 418-1718 |
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