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DR. TRINA RENEE' WILSON PHD M.DIV LCSW NPI 1548378631


NPI Information

NPI: 1548378631
Provider Name: DR. TRINA RENEE' WILSON, PHD, M.DIV, LCSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
617 ROSWELL ST NE
MARIETTA, GA
ZIP 30060
Phone: (404) 931-6535
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DR. Trina Renee' Wilson, PHD, M.DIV, LCSW is a clinical social worker in Marietta, GA. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. DR. Trina Renee' Wilson, PHD, M.DIV, LCSW NPI is 1548378631. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

617 ROSWELL ST NE
MARIETTA, GA
ZIP 30060-502
Phone: (404) 931-6535
Fax: (770) 420-8101

The enumeration date for this NPI number is 8/28/2006 and was last updated on 2/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor1764GEORGIANo
2101YA0400XCounselorAddiction (Substance Use Disorder)1764GEORGIANo
3101YM0800XCounselorMental Health1764GEORGIANo
4101YP1600XCounselorPastoral1764GEORGIANo
5101YP2500XCounselorProfessional1764GEORGIANo
6101YS0200XCounselorSchool1764GEORGIANo
7104100000XSocial Worker1764GEORGIANo
81041S0200XSocial WorkerSchool1764GEORGIANo
9106H00000XMarriage & Family Therapist1764GEORGIANo
101041C0700XSocial WorkerClinical1764GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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