National Provider Identifier
Mary Ann Wilson, LCSW-R
Mary Ann Wilson, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Penfield, NY and a listed phone number of (585) 690-0890.
Profile Overview
- NPI
- 1760664338
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- December 05, 2007
- Last Updated
- January 13, 2025
Practice Location
- 2130 Five Mile Line RD
- Penfield, NY 14526-2292
Phone: (585) 690-0890
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1760664338
- Entity Type
- Individual
- Last Name
- Wilson
- First Name
- Mary Ann
- Credential
- LCSW-R
- Mailing Street Address
- 2130 Five Mile Line RD
- Mailing City
- Penfield
- Mailing State
- NY
- Mailing ZIP Code
- 14526-2292
- Mailing Country
- US
- Mailing Phone
- (585) 690-0890
- Practice Street Address
- 2130 Five Mile Line RD
- Practice City
- Penfield
- Practice State
- NY
- Practice ZIP Code
- 14526-2292
- Practice Country
- US
- Practice Phone
- (585) 690-0890
- Enumeration Date
- December 05, 2007
- Last Updated
- January 13, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 31, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 03350007 (NY)