ACACIA WILSON - NPI 1811638562 - Social Worker in Charlotte, NC

Q: What is Acacia Wilson's NPI number?

The NPI number for Acacia Wilson is 1811638562. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Q: What is Acacia Wilson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Acacia Wilson was last updated on April 6, 2022. 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.

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About Acacia Wilson NPPES

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

ACACIA WILSON (NPI 1811638562) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (P015235) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1811638562

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameACACIA WILSON

Location Address10150 MALLARD CREEK RD STE 104Charlotte, NC 28262-4567

Mailing Address10150 Mallard Creek Rd Ste 104Charlotte, NC 28262-4567 · (980) 242-7090

Phone(980) 242-7090

Sole ProprietorYes

Enumeration DateApril 6, 2022

NPPES CertifiedApril 6, 2022

✔ NPI 1811638562 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 NC · P015235

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.

10150 MALLARD CREEK RD STE 104, Charlotte, NC 28262

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 8

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

DAMION HARMON LCMHC, NCC

Counselor (Mental Health)