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MS. ANNETTE WILSON CASAC-T
NPI 1417617887
Counselor - Addiction (Substance Use Disorder) in Port Jervis, NY

Active since December 27, 2021
123 PIKE ST, PORT JERVIS, NY 12771(845) 856-7576 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Annette Wilson Casac-t NPPES

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

MS. ANNETTE WILSON CASAC-T (NPI 1417617887) is an individual addiction (substance use disorder) provider in Port Jervis, New York, licensed in New York (37087) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1417617887
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. ANNETTE WILSONCredential: CASAC-T
Location Address123 PIKE STPort Jervis, NY 12771-1824
Mailing Address123 Pike StPort Jervis, NY 12771-1824 · (845) 856-7576
Phone(845) 856-7576
Sole ProprietorNo
Enumeration DateDecember 27, 2021
NPPES CertifiedDecember 27, 2021
✔ NPI 1417617887 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 · 37087
123 PIKE ST, Port Jervis, NY 12771
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Other Providers at the Same Location NPPES 16

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

HENRY R GOLDSTEIN MD PC
Ophthalmology
123 PIKE ST
PORT JERVIS, NY 12771
Orange County (845) 856-6609
GEORGE RUMSEY CASAC-T
Counselor (Addiction (Substance Use Disorder))
123 PIKE ST
PORT JERVIS, NY 12771
Orange County (845) 856-7576
HILLSIDE HEALTH MEDICAL PRACTICE, P.C.
Pediatrics
123 PIKE ST, SUITE 209
PORT JERVIS, NY 12771
Orange County (845) 856-6671
MS. SARAH COOPER CASAC ADVANCED
Counselor (Addiction (Substance Use Disorder))
123 PIKE ST
PORT JERVIS, NY 12771
Orange County (845) 856-7576
MOINUDDIN AHMED
Internal Medicine
123 PIKE ST, SUITE 207
PORT JERVIS, NY 12771
Orange County (845) 856-2244
MS. CHERYLANNE COHEN CASAC-T
Counselor (Addiction (Substance Use Disorder))
123 PIKE ST
PORT JERVIS, NY 12771
Orange County (845) 856-7576
MR. JEFFREY DAVID SEYER CASAC-T
Counselor (Addiction (Substance Use Disorder))
123 PIKE ST
PORT JERVIS, NY 12771
Orange County (845) 856-7576
MOINUDDIN AHMED MD
Internal Medicine (Pulmonary Disease)
123 PIKE ST, SUITE 207
PORT JERVIS, NY 12771
Orange County (845) 856-2244

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 Annette Wilson's NPI number?

The NPI number for Annette Wilson is 1417617887. It was assigned to this individual provider in the NPPES registry on December 27, 2021.

Where is Annette Wilson located?

Annette Wilson practices at 123 Pike St, Port Jervis, NY 12771. The listed phone number is (845) 856-7576.

What is Annette 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 Annette Wilson was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.