MS. THERESA ANN WILSON LCSW
NPI 1295176733
Social Worker - Clinical in Polacca, AZ

Active since July 12, 2013
MILEPOST 388 HIGHWAY 264, POLACCA, AZ 86042(928) 737-6188(928) 737-6098 Get Directions Write a Review

NPPES record last updated: July 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Theresa Ann Wilson Lcsw NPPES

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

MS. THERESA ANN WILSON LCSW (NPI 1295176733) is an individual clinical provider in Polacca, Arizona, licensed in New York (0698081) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1295176733
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. THERESA ANN WILSONCredential: LCSW
Location AddressMILEPOST 388 HIGHWAY 264Polacca, AZ 86042-4000
Mailing AddressPo Box 4000Polacca, AZ 86042-4000 · (928) 737-6188 · Fax (928) 737-6098
Fax(928) 737-6098
Sole ProprietorNo
Enumeration DateJuly 12, 2013
NPI 1295176733 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 NY · 0698081
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.
MILEPOST 388 HIGHWAY 264, Polacca, AZ 86042

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 Theresa Wilson's NPI number?

The NPI number for Theresa Wilson is 1295176733. It was assigned to this individual provider in the NPPES registry on July 12, 2013.

Where is Theresa Wilson located?

Theresa Wilson practices at Milepost 388 Highway 264, Polacca, AZ 86042. The listed phone number is (928) 737-6188.

What is Theresa 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 Theresa Wilson was last updated on July 12, 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.