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MR. NICHOLAS FREDERICK WILSON BSW,CASAC
NPI 1306211792
Counselor - Addiction (Substance Use Disorder) in Jamaica, NY

Active since December 10, 2015
11630 SUTPHIN BLVD, JAMAICA, NY 11434(718) 322-2500(718) 322-1881 Get Directions Write a Review

NPPES record last updated: December 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Nicholas Frederick Wilson Bsw,casac NPPES

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

MR. NICHOLAS FREDERICK WILSON BSW,CASAC (NPI 1306211792) is an individual addiction (substance use disorder) provider in Jamaica, New York, licensed in New York (20345) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1306211792
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. NICHOLAS FREDERICK WILSONCredential: BSW,CASAC
Location Address11630 SUTPHIN BLVDJamaica, NY 11434-1527
Mailing Address11630 Sutphin BlvdJamaica, NY 11434-1527 · (718) 322-2500 · Fax (718) 322-1881
Phone(718) 322-2500
Fax(718) 322-1881
Sole ProprietorYes
Enumeration DateDecember 10, 2015
✔ NPI 1306211792 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 NY · 20345
11630 SUTPHIN BLVD, Jamaica, NY 11434
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Other Providers at the Same Location NPPES 20

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

MEGAN GELLMAN
Counselor (Addiction (Substance Use Disorder))
11630 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (718) 322-2500
Q.V.C.M.H. J-CAP
Substance Abuse Rehabilitation Facility
11630 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (718) 322-2500
DAVID JONES CASAC 2
Counselor (Addiction (Substance Use Disorder))
11630 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (183) 222-5007
MS. DENISE TURNER
Counselor (Addiction (Substance Use Disorder))
11630 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (718) 322-2500
RONALD THOMPSON CASAC
Counselor (Addiction (Substance Use Disorder))
11630 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (718) 734-2539
JOHN FRANK RICKS CASAC
Counselor (Addiction (Substance Use Disorder))
11630 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (718) 322-2500
MR. DAVID WHITE
Counselor (Addiction (Substance Use Disorder))
11630 SUTPHIN BLVD, JAMAICA, QUEENS
JAMAICA, NY 11434
Queens County (718) 322-2500
ROBERT JOHN TOLENTO CASAC-T
Counselor (Addiction (Substance Use Disorder))
11630 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (718) 322-2500

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 Nicholas Wilson's NPI number?

The NPI number for Nicholas Wilson is 1306211792. It was assigned to this individual provider in the NPPES registry on December 10, 2015.

Where is Nicholas Wilson located?

Nicholas Wilson practices at 11630 Sutphin Blvd, Jamaica, NY 11434. The listed phone number is (718) 322-2500.

What is Nicholas 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 Nicholas Wilson was last updated on December 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.