Jade Wilson, is a
Social Worker based in Fullerton, California. Jade Wilson is licensed to practice in * (Not Available) (license number ) and her current practice location is
906 E Commonwealth Ave, Fullerton, California. She can be reached at her office (for appointments etc.) via phone at
(425) 691-6936.
NPI number for Jade Wilson is 1104481506 and her current mailing address is 2026 W Beacon Ave, Anaheim, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104481506.
Healthcare Provider's Profile
| Full Name | Jade Wilson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 906 E Commonwealth Ave, Fullerton, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1104481506
- Provider Enumeration Date: 05/01/2019
- Last Update Date: 04/25/2022
Medical Identifiers
Medical identifiers for Jade Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104481506 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | 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. Jade 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 |
|---|
Jade Wilson,
2026 W Beacon Ave,
Anaheim, CA 92804-4406
Ph: () - | Jade Wilson,
906 E Commonwealth Ave,
Fullerton, CA 92831-4518
Ph: (425) 691-6936 |
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