Individual provider · Type 1 NPI
Latoya Shena Wilson
Clinical Social Worker · Raleigh, NC
Practice location
4761 Queen Pierrette St.
Raleigh, NC 27610-8706
Mailing address
4761 Queen Pierrette St
Raleigh, NC 27610-8706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | P021341 (NC) |
| Peer Specialist | 175T00000X | P021341 (NC) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-30953 (NC) |
| Case Management Agency | 251B00000X | P021341 (NC) |
| Clinical Social Worker Primary | 1041C0700X | P021341 (NC) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1013704071
Latoya Shena Wilson's National Provider Identifier is 1013704071, issued on Apr 23, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raleigh, NC. The record was last updated on Mar 11, 2026.