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
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | P021068 (NC) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCAS-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.