Wilson, Valeta B

Wilson, Valeta B is an individual health care provider with primary practice located at 224 Great Bridge Blvd Chesapeake Comm Services Board, Chesapeake VA 23320. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wilson, Valeta B can be contacted via phone (757) 547-9334.

Contact Information

Primary practice address
224 Great Bridge Blvd Chesapeake Comm Services Board Chesapeake VA 23320
Phone: (757) 547-9334
Fax: (757) 819-6292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904006234 Virginia

Profile Details

NPI number 1104976257
LBN Legal business name Wilson, Valeta B
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Jul 8th, 2007 - about 17 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 1104976257 NPPES
Virginia Other 196151 ANTHEM TRILON
Virginia MEDICAID 5691598 ANTHEM TRILON
Virginia Other 377923 ANTHEM TRILON

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