CASSANDRA SUSANN WILSON CDPT
NPI 1174955629
Counselor - Addiction (Substance Use Disorder) in Lakewood, WA

Q: What is Cassandra Wilson's NPI number?

The NPI number for Cassandra Wilson is 1174955629. It was assigned to this individual provider in the NPPES registry on August 7, 2013.

Q: What is Cassandra Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Cassandra Wilson was last updated on August 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 07, 2013

10828 GRAVELLY LAKE DR. SW, SUITE 204, LAKEWOOD, WA 98499(253) 473-7474(253) 474-9724 Get Directions Write a Review

NPPES record last updated: August 7, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Cassandra Susann Wilson Cdpt NPPES

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

CASSANDRA SUSANN WILSON CDPT (NPI 1174955629) is an individual addiction (substance use disorder) provider in Lakewood, Washington, licensed in Washington (CO60316800) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1174955629

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameCASSANDRA SUSANN WILSONCredential: CDPT

Location Address10828 GRAVELLY LAKE DR. SW, SUITE 204Lakewood, WA 98499

Mailing Address10828 Gravelly Lake Dr. Sw, Suite 204Lakewood, WA 98499 · (253) 473-7474 · Fax (253) 474-9724

Phone(253) 473-7474

Fax(253) 474-9724

Sole ProprietorYes

Enumeration DateAugust 7, 2013

✔ NPI 1174955629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in WA · CO60316800

10828 GRAVELLY LAKE DR. SW, Lakewood, WA 98499

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Other Providers at the Same Location NPPES

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

MRS. DIANE REE SHEPARD MA, LMHC

Counselor (Professional)

10828 GRAVELLY LAKE DR. SW, SUITE 107
LAKEWOOD, WA 98499

Pierce County (253) 984-9342

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 Cassandra Wilson's NPI number?

The NPI number for Cassandra Wilson is 1174955629. It was assigned to this individual provider in the NPPES registry on August 7, 2013.

Where is Cassandra Wilson located?

Cassandra Wilson practices at 10828 Gravelly Lake Dr. SW Suite 204, Lakewood, WA 98499. The listed phone number is (253) 473-7474.

What is Cassandra Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Cassandra Wilson was last updated on August 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.