Susan Clement Wilson, MSC, MA, LGC, LMHC is a
Genetic Counselor, Ms based in Santa Fe, New Mexico. Susan Clement Wilson is licensed to practice in New Mexico (license number GC2009-012) and her current practice location is
5 Dulce Rd, Santa Fe, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 577-8480.
NPI number for Susan Clement Wilson is 1215175542 and her current mailing address is 5 Dulce Rd, Santa Fe, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215175542.
Healthcare Provider's Profile
Full Name | Susan Clement Wilson |
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Gender | Female |
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Speciality | Genetic Counselor, Ms |
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Location | 5 Dulce Rd, Santa Fe, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215175542
- Provider Enumeration Date: 01/23/2009
- Last Update Date: 08/07/2009
Medical Identifiers
Medical identifiers for Susan Clement Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215175542 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 0118861 (New Mexico) | Secondary |
170300000X | Genetic Counselor, Ms | GC2009-012 (New Mexico) | 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. Susan Clement 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 |
Susan Clement Wilson, MSC, MA, LGC, LMHC 5 Dulce Rd, Santa Fe, NM 87508-8284 Ph: (505) 577-8480 | Susan Clement Wilson, MSC, MA, LGC, LMHC 5 Dulce Rd, Santa Fe, NM 87508-8284 Ph: (505) 577-8480 |
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