Individual provider · Type 1 NPI

Lucius Massey Wilson, MSW, LCSWA, LCAS

Addiction (Substance Use Disorder) Counselor · Raleigh, NC

NPI number 1669218293 Active

Practice location

2101 Garner Rd
Raleigh, NC 27610-0114

Fax (919) 571-2932

Mailing address

3125 Poplarwood Ct Ste 203
Raleigh, NC 27604-6445

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XP021068 (NC)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCAS-29937 (NC)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1669218293

Lucius Massey Wilson, MSW, LCSWA, LCAS's National Provider Identifier is 1669218293, issued on Jul 3, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Raleigh, NC. The record was last updated on Oct 7, 2026.