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MR. WILLIE J WILSON JR. CAC-AD
NPI 1245806439
Counselor - Addiction (Substance Use Disorder) in Baltimore, MD

Active since May 28, 2021
3111 CLIFTON AVE, BALTIMORE, MD 21216(443) 271-2874 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Willie J Wilson Jr. Cac-ad NPPES

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

MR. WILLIE J WILSON JR. CAC-AD (NPI 1245806439) is an individual addiction (substance use disorder) provider in Baltimore, Maryland, licensed in Maryland (AC-1150) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1245806439
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. WILLIE J WILSON JR.Credential: CAC-AD
Location Address3111 CLIFTON AVEBaltimore, MD 21216-2734
Mailing Address3916 Annellen RdBaltimore, MD 21215-7215 · (443) 271-2874
Phone(443) 271-2874
Sole ProprietorYes
Enumeration DateMay 28, 2021
NPPES CertifiedMay 28, 2021
✔ NPI 1245806439 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 MD · AC-1150
3111 CLIFTON AVE, Baltimore, MD 21216
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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.

EACH1TEACH1 COMMUNITY HEALTH,LLC
Community/Behavioral Health
3111 CLIFTON AVE
BALTIMORE, MD 21216
Baltimore City (443) 271-2874

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 Willie Wilson's NPI number?

The NPI number for Willie Wilson is 1245806439. It was assigned to this individual provider in the NPPES registry on May 28, 2021.

Where is Willie Wilson located?

Willie Wilson practices at 3111 Clifton Ave, Baltimore, MD 21216. The listed phone number is (443) 271-2874.

What is Willie 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 Willie Wilson was last updated on May 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.