ANTHONY J WILSON SR.


Address: 11120 Somerset Ave, Princess Anne, MD 21853-2970
Phone: 4106514200

ANTHONY J WILSON SR. (NPI# 1588180129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588180129
Entity Type Individual
Full Name ANTHONY J WILSON SR.
Credential MSW
Practice Address 11120 Somerset Ave
Princess Anne
MD 21853-2970
Mailing Address 1113 Healthway Drive
Salisbury
MD 21804-4470
Practice Telephone 4106514200
Mailing Telephone (410) 334-6961
Mailing Fax Number 4103346362
Enumeration Date 2017-08-15
Last Update Date 2017-09-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD 609550004 05

Other Providers ANTHONY WILSON

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Office Location

Street Address 11120 SOMERSET AVE
City PRINCESS ANNE
State MD
Zip Code 21853-2970

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235245044 Kelly Ann Hawkins Social Worker 11120 Somerset Ave, Princess Anne, MD 21853-2970 2006-08-22
1164052403 Edith Igere Jones Counselor 11120 Somerset Ave, Princess Anne, MD 21853-2970 2020-01-24
1750945895 Chelangat Rono Student in an Organized Health Care Education/Training Program 11120 Somerset Ave, Princess Anne, MD 21853-2970 2019-04-24
1710541032 Melissa A Rice Counselor 11120 Somerset Ave, Princess Anne, MD 21853-2970 2019-04-23
1265989412 Gregory George Bisset Social Worker 11120 Somerset Ave, Princess Anne, MD 21853-2970 2016-09-06
1336510197 Steve Giddens Counselor 11120 Somerset Ave, Princess Anne, MD 21853-2970 2015-10-19
1043612872 Amber Leigh Wallace Social Worker 11120 Somerset Ave, Princess Anne, MD 21853-2970 2014-09-24
1427457159 Aleshia Patrice Polk Counselor 11120 Somerset Ave, Princess Anne, MD 21853-2970 2014-08-19
1972910370 Christopher Schwartfigure Counselor 11120 Somerset Ave, Princess Anne, MD 21853-2970 2014-07-17
1932520301 Sarina Rene Smith Counselor 11120 Somerset Ave, Princess Anne, MD 21853-2970 2014-01-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205478013 Zachary Castell Counselor 30665 Student Services Center Lane, Princess Anne, MD 21853 2019-10-14
1659798759 Brittany Leigh Heffernan Dentist 12165 Elm Street, Princess Anne, MD 21853 2014-03-26
1750670519 Earl Gene Grantz Pharmacist 1251 Brittingham Lane, Rite Aid Pharmacy, Princess Anne, MD 21853 2011-04-01
1356554018 Somerset County Health Department Public Health or Welfare 11674 Somerset Avenue, Princess Anne, MD 21853 2007-05-08
1801008479 Cedric Rashaw Counselor 1 Umes Backbone Road, Princess Anne, MD 21853 2007-05-04
1053408641 Nancy V Lorsong Nurse Practitioner Backbone Rd, Charles Drew Student Health Center, Princess Anne, MD 21853 2006-10-06
1154354744 Three Lower Counties Community Services, Inc. Clinic/Center 12145 Elm Street, Princess Anne, MD 21853 2006-07-08
1750855797 Rebecca Coryell Physician Assistant 12302 Somerset Ave, Suite A, B, Princess Anne, MD 21853 2019-01-13
1205331840 Kristen Lea Hyland Dentist 12165 Elm St, Princess Anne, MD 21853 2018-03-26
1386145118 Karishma Dilip Patel Dentist 12165 Elm St, Princess Anne, MD 21853 2018-02-27
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205478013 Zachary Castell Counselor 30665 Student Services Center Lane, Princess Anne, MD 21853 2019-10-14
1447886205 Madalyne Suzanne Adams Counselor 12145 Elm St, Princess Anne, MD 21853-1358 2020-03-12
1164052403 Edith Igere Jones Counselor 11120 Somerset Ave, Princess Anne, MD 21853-2970 2020-01-24
1265085021 Robin Jinette Kristall Counselor 12145 Elm St, Princess Anne, MD 21853-1358 2019-07-22
1710541032 Melissa A Rice Counselor 11120 Somerset Ave, Princess Anne, MD 21853-2970 2019-04-23
1518520832 Devon Adam Bryant Jr. Counselor 12145 Elm St, Princess Anne, MD 21853-1358 2019-04-22
1841763448 Walter Holmes Counselor 12145 Elm St, Princess Anne, MD 21853-1358 2019-01-07
1578035093 Kevin King Counselor 12145 Elm St, Princess Anne, MD 21853-1358 2018-12-21
1336510197 Steve Giddens Counselor 11120 Somerset Ave, Princess Anne, MD 21853-2970 2015-10-19
1427457159 Aleshia Patrice Polk Counselor 11120 Somerset Ave, Princess Anne, MD 21853-2970 2014-08-19
Find all providers in PRINCESS ANNE

Competitor

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City PRINCESS ANNE
Zip Code 21853

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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