National Provider Identifier

Thomas Theodore Wilson, LCSW

Thomas Theodore Wilson, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 922-2500.

NPI 1083465264Rochester, NYClinical Social Worker

Source: public NPPES record, last updated August 05, 2026. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1083465264
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
March 27, 2024
Last Updated
August 05, 2026

Practice Location

  • 1381 E Ridge RD Ste 5
  • Rochester, NY 14621-2019

Phone: (585) 922-2500

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Clinical Social Worker (1041C0700X)

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Full Record
NPI
1083465264
Entity Type
Individual
Last Name
Wilson
First Name
Thomas
Middle Name
Theodore
Credential
LCSW
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Mailing Fax
(585) 922-1011
Practice Street Address
1381 E Ridge RD Ste 5
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-2019
Practice Country
US
Practice Phone
(585) 922-2500
Practice Fax
(585) 922-2710
Enumeration Date
March 27, 2024
Last Updated
August 05, 2026
Sex
Male
Sole Proprietor
No
Certification Date
August 05, 2026
Taxonomies
Clinical Social Worker (1041C0700X)