| Ms Victoria Elaine Wilson, LCSWC | |
|
1110 Benfield Blvd Suite H, Severna Park Professional Counseling Center, Millersville, MD 21108 | |
| (410) 987-5048 | |
| (410) 987-4710 |
| Full Name | Ms Victoria Elaine Wilson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1110 Benfield Blvd Suite H, Millersville, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083643720 | NPI | - | NPPES |
| 243000200 | Medicaid | MD | |
| 2W66 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 07590 (Maryland) | Primary |
| Entity Name | University Of Maryland Community Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687 |
| Entity Name | University Of Maryland Psychiatry Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649292699 PECOS PAC ID: 1052208253 Enrollment ID: O20040302001182 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Victoria Elaine Wilson, LCSWC Po Box 64515, Severna Park Professional Counseling Center, Baltimore, MD 21264-4515 Ph: (717) 428-0552 | Ms Victoria Elaine Wilson, LCSWC 1110 Benfield Blvd Suite H, Severna Park Professional Counseling Center, Millersville, MD 21108 Ph: (410) 987-5048 |
Suzanne Matty, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8258 Veterans Hwy, Suite 13, Millersville, MD 21108 Phone: 410-768-6088 Fax: 410-768-6444 | |
Mrs. Anna Marie Smith, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1111 Benfield Blvd Ste 104, Millersville, MD 21108 Phone: 667-600-2468 Fax: 667-600-4061 | |
Amanda Richardson, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8258 Veterans Hwy, Suite 13, Millersville, MD 21108 Phone: 410-768-6088 Fax: 410-768-6444 | |
Aden Urbaniak, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1111 Benfield Blvd, Millersville, MD 21108 Phone: 667-600-2494 | |
Alison Jones, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1114 Benfield Blvd Ste G, Millersville, MD 21108 Phone: 410-780-5203 Fax: 410-987-4301 | |
Erin K Oczkowski, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8258 Veterans Hwy Ste 13, Millersville, MD 21108 Phone: 410-768-6088 Fax: 410-768-6444 |