Alvin D. Wilson, LCSW
Social Worker, Clinical in Aberdeen, NC. Individual provider (NPI-1).
NPI number1013206705
StatusActive
Last updated in NPPESAug 23, 2018
Details
- NPI
- 1013206705
- Entity type
- Individual (NPI-1)
- Name
- Mr. Alvin D. Wilson
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 1, 2011
- Last updated
- Aug 23, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C006061 | NC | Yes |
Practice location
115 Ashleigh BlvdAberdeen, NC 28315
Phone 910-603-0845
Mailing address
115 Ashleigh BlvdAberdeen, NC 28315-4185
Phone 910-603-0845
Other practice locations
1318 Raeford Rd
Fayetteville, NC 28305-5482
Fayetteville, NC 28305-5482
Phone 910-485-6336
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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