Andrea Clare Wilson, is a
Social Worker - Clinical based in Baker City, Oregon. Andrea Clare Wilson is licensed to practice in Oregon (license number L16483) and her current practice location is
3425 13th St, Baker City, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 523-7400.
NPI number for Andrea Clare Wilson is 1639537855 and her current mailing address is 3425 13th St, Baker City, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639537855.
Healthcare Provider's Profile
| Full Name | Andrea Clare Wilson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 3425 13th St, Baker City, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1639537855
- Provider Enumeration Date: 02/02/2016
- Last Update Date: 07/24/2025
Medical Identifiers
Medical identifiers for Andrea Clare Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639537855 | NPI | - | NPPES |
| 500787454 | Medicaid | OR | |
| 500700231 | Other | OR | MEDICAID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 17-05-48 (Oregon) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | A12828 (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | L16483 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrea Clare Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Andrea Clare Wilson,
3425 13th St,
Baker City, OR 97814-1340
Ph: (541) 523-7400 | Andrea Clare Wilson,
3425 13th St,
Baker City, OR 97814-1340
Ph: (541) 523-7400 |
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