National Provider Identifier
Paul R Wilson, LCSW
Paul R 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) 535-9115.
Profile Overview
- NPI
- 1598018038
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 22, 2012
- Last Updated
- April 25, 2023
Practice Location
- 33 University Avenue
- Rochester, NY 14605-2825
Phone: (585) 535-9115
Specialties
- Clinical Social Worker (1041C0700X)
- Social Worker (104100000X)
Full Record
- NPI
- 1598018038
- Entity Type
- Individual
- Last Name
- Wilson
- First Name
- Paul
- Middle Name
- R
- Name Prefix
- Mr.
- Credential
- LCSW
- Mailing Street Address
- 33 University Avenue
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14605-2825
- Mailing Country
- US
- Mailing Phone
- (585) 535-9115
- Mailing Fax
- (585) 419-5468
- Practice Street Address
- 33 University Avenue
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14605-2825
- Practice Country
- US
- Practice Phone
- (585) 535-9115
- Practice Fax
- (585) 922-2583
- Enumeration Date
- October 22, 2012
- Last Updated
- April 25, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- April 25, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Social Worker (104100000X)