Wanda L Wilson, LCSW is a
Social Worker - Clinical based in Boise, Idaho. Wanda L Wilson is licensed to practice in Idaho (license number 45394) and her current practice location is
6615 S Acacia St, Boise, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 918-4894.
NPI number for Wanda L Wilson is 1952640831 and her current mailing address is 6615 S Acacia St, Boise, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952640831.
Healthcare Provider's Profile
Full Name | Wanda L Wilson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 6615 S Acacia St, Boise, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952640831
- Provider Enumeration Date: 02/12/2013
- Last Update Date: 06/25/2025
Medical Identifiers
Medical identifiers for Wanda L Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952640831 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | LCSW-45394 (Idaho) | Secondary |
1041C0700X | Social Worker - Clinical | 45394 (Idaho) | 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. Wanda L 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 |
Wanda L Wilson, LCSW 6615 S Acacia St, Boise, ID 83709-6683 Ph: (208) 918-4894 | Wanda L Wilson, LCSW 6615 S Acacia St, Boise, ID 83709-6683 Ph: (208) 918-4894 |
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