Wilson, Nancy Martin

Wilson, Nancy Martin is an sole proprietor health care provider with primary practice located at 107 E Holly Ave Suite 13, Sterling VA 20164-5405. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wilson, Nancy Martin can be contacted via phone (703) 444-5833.

Contact Information

Primary practice address
107 E Holly Ave Suite 13 Sterling VA 20164-5405
Phone: (703) 444-5833
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904002587 Virginia

Profile Details

NPI number 1336217660
LBN Legal business name Wilson, Nancy Martin
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336217660 NPPES
Virginia Other B713 GHMSI PROVIDER NUMBER
Virginia Other 088953 GHMSI PROVIDER NUMBER

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