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SAMUEL WILSON
NPI 1790530764
Community/Behavioral Health in Worland, WY

Active since April 22, 2024
609 S 5TH ST, WORLAND, WY 82401(406) 647-9633 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Wilson NPPES

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

SAMUEL WILSON (NPI 1790530764) is an individual community/behavioral health provider in Worland, Wyoming and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1790530764
Entity TypeIndividualMale
Primary Taxonomy251S00000X
Provider Legal NameSAMUEL WILSON
Location Address609 S 5TH STWorland, WY 82401-3809
Mailing Address609 S 5th StWorland, WY 82401-3809 · (406) 647-9633
Phone(406) 647-9633
Sole ProprietorYes
Enumeration DateApril 22, 2024
NPPES CertifiedApril 22, 2024
✔ NPI 1790530764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
609 S 5TH ST, Worland, WY 82401
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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.

KRYSTAL ROSE RE
Case Manager/Care Coordinator
609 S 5TH ST
WORLAND, WY 82401
Washakie County (307) 388-9728

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 Samuel Wilson's NPI number?

The NPI number for Samuel Wilson is 1790530764. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Where is Samuel Wilson located?

Samuel Wilson practices at 609 S 5th St, Worland, WY 82401. The listed phone number is (406) 647-9633.

What is Samuel Wilson's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Samuel Wilson was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.