EBONY N WILSON MSW, LCSWA
NPI 1073156063
Social Worker - Clinical in Charlotte, NC

Active since October 22, 2019
10130 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262(980) 382-2328 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 31, 2025, Oct 22, 2019 (2 updates tracked since 2019).

About Ebony N Wilson Msw, Lcswa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBONY N WILSON MSW, LCSWA (NPI 1073156063) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (P022344) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1073156063
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEBONY N WILSONCredential: MSW, LCSWA
Location Address10130 MALLARD CREEK RD STE 300Charlotte, NC 28262-6001
Mailing Address10014 Red Bluff CtCharlotte, NC 28269-8381 · (704) 890-5562
Sole ProprietorNo
Enumeration DateOctober 22, 2019
Last NPPES UpdateFebruary 26, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2026
NPI 1073156063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NC · P022344
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
10130 MALLARD CREEK RD STE 300, Charlotte, NC 28262

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Counselor (Professional)
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Social Worker (Clinical)
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Foster Care Agency
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Social Worker (Clinical)
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Social Worker (Clinical)
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Counselor (Mental Health)
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Clinic/Center (Mental Health (Including Community Mental Health Center))
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebony Wilson's NPI number?

The NPI number for Ebony Wilson is 1073156063. It was assigned to this individual provider in the NPPES registry on October 22, 2019.

Where is Ebony Wilson located?

Ebony Wilson practices at 10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262. The listed phone number is (980) 382-2328.

What is Ebony Wilson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Ebony Wilson was last updated on February 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.