RYAN DAVID WILSON
NPI 1174017792
Social Worker in Redlands, CA

Q: What is Ryan Wilson's NPI number?

The NPI number for Ryan Wilson is 1174017792. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Q: What is Ryan Wilson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Wilson was last updated on June 18, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 18, 2018PECOS Enrolled

26001 REDLANDS BLVD, REDLANDS, CA 92373(951) 378-2277 Get Directions Write a Review

NPPES record last updated: June 18, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ryan David Wilson NPPES

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

RYAN DAVID WILSON (NPI 1174017792) is an individual social worker in Redlands, California and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174017792

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameRYAN DAVID WILSON

Location Address26001 REDLANDS BLVDRedlands, CA 92373-7762

Mailing Address12297 Paseo Del Sol WayMoreno Valley, CA 92557-7516 · (951) 378-2277

Phone(951) 378-2277

Sole ProprietorNo

Enumeration DateJune 18, 2018

✔ NPI 1174017792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

26001 REDLANDS BLVD, Redlands, CA 92373

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan David Wilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.