Individual provider · Type 1 NPI
Elisheba Vivianna Wilson
Clinical Social Worker · Bowie, MD
Practice location
3818 Europe Ln
Bowie, MD 20716-7331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 101YA0400X (MD) |
| Clinical Social Worker Primary | 1041C0700X | 1041C0700X (MD) |
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 1689532731
Elisheba Vivianna Wilson's National Provider Identifier is 1689532731, issued on Jan 15, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bowie, MD. The record was last updated on Jan 15, 2026.