Rebecca Wilson
Clinical Social Worker
134 State St
Meriden
, Connecticut 06450-3293
Rebecca Wilson
Clinical Social Worker
134 State St
Meriden
, Connecticut 06450-3293
(860) 638-6601
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Rebecca Wilson
- 635 Main St Attn: Credentialing Dpt
- Middletown, CT
- Zip : 06457-2718
- Fax : (860) 638-6601
- Phone : (860) 347-6971
Second Address
- Rebecca Wilson
- 134 State St
- Meriden, CT
- Zip : 06450-3293
- Fax : (203) 686-1677
- Phone : (203) 237-2229
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | 007391 | CT |
National Provider Identifier
| NPI | 1003124959 |
|---|---|
| Provider Name | Rebecca Wilson |
| First Address | Middletown, CT 06457-2718 |
| Second Address | Meriden, CT 06450-3293 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/09/2010 |
| Last Update Date | 14/09/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 004236338 | (05) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.