KELLY L WILSON
NPI 1275688137
Social Worker in Jackson, MS

Active since January 23, 2007
200 N CONGRESS ST, SUITE 100, JACKSON, MS 39201(601) 355-8634 Get Directions Write a Review

NPPES record last updated: September 23, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly L Wilson NPPES

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

KELLY L WILSON (NPI 1275688137) is an individual social worker in Jackson, Mississippi, licensed in Mississippi (C5370) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1275688137
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKELLY L WILSON
Location Address200 N CONGRESS ST, SUITE 100Jackson, MS 39201-1902
Mailing Address200 N Congress St, Suite 100Jackson, MS 39201-1902 · (601) 355-8634
Sole ProprietorNo
Enumeration DateJanuary 23, 2007
Last NPPES UpdateSeptember 23, 2007
NPI 1275688137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in MS · C5370
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.
200 N CONGRESS ST, Jackson, MS 39201

Other Identifiers 1

Medicaid08135705MS

Other Providers at the Same Location NPPES 18

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

Social Worker (Clinical)
200 N CONGRESS ST, SUITE 100
JACKSON, MS 39201
Counselor (Mental Health)
200 N CONGRESS ST, SUITE 100
JACKSON, MS 39201
Social Worker (Clinical)
200 N CONGRESS ST, SUITE 100
JACKSON, MS 39201
Social Worker
200 N CONGRESS ST, SUITE 100
JACKSON, MS 39201
Counselor (Professional)
200 N CONGRESS ST, SUITE 100
JACKSON, MS 39201
Counselor (Mental Health)
200 N CONGRESS ST, SUITE 100
JACKSON, MS 39201
Counselor (Professional)
200 N CONGRESS ST, SUITE 100
JACKSON, MS 39201
Social Worker (Clinical)
200 N CONGRESS ST, SUITE 100
JACKSON, MS 39201

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 Kelly Wilson's NPI number?

The NPI number for Kelly Wilson is 1275688137. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Kelly Wilson located?

Kelly Wilson practices at 200 N Congress St Suite 100, Jackson, MS 39201. The listed phone number is (601) 355-8634.

What is Kelly Wilson's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Wilson was last updated on September 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.