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MR. SAMUEL CARL WILSON PRS
NPI 1881452019
Peer Specialist in Willingboro, NJ

Active since March 12, 2024
15 HAWTHORNE LN, WILLINGBORO, NJ 08046(609) 470-4283 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Samuel Carl Wilson Prs NPPES

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

MR. SAMUEL CARL WILSON PRS (NPI 1881452019) is an individual peer specialist in Willingboro, New Jersey and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1881452019
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. SAMUEL CARL WILSONCredential: PRS
Location Address15 HAWTHORNE LNWillingboro, NJ 08046-1717
Mailing Address15 Hawthorne LnWillingboro, NJ 08046-1717 · (609) 470-4283
Phone(609) 470-4283
Sole ProprietorYes
Enumeration DateMarch 12, 2024
NPPES CertifiedMarch 12, 2024
✔ NPI 1881452019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
15 HAWTHORNE LN, Willingboro, NJ 08046
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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 1881452019. It was assigned to this individual provider in the NPPES registry on March 12, 2024.

Where is Samuel Wilson located?

Samuel Wilson practices at 15 Hawthorne Ln, Willingboro, NJ 08046. The listed phone number is (609) 470-4283.

What is Samuel Wilson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Samuel Wilson was last updated on March 12, 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.