Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Wilson Lcswc Lcadc LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1033691407

Jennifer Wilson Lcswc Lcadc LLC is an Addiction (Substance Use Disorder) Counselor in Owings Mills, Maryland. Licensed in Maryland. Registered with an NPI since 2018.

Licensed in
MD
In the registry since
2018
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9199 Reisterstown Rd Ste 202B
Owings Mills, MD 21117-4579
Phone: (410) 868-0001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 18028 (MD)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCA2105 (MD)
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1033691407
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Wilson — Owner · (410) 868-0001
NPI enumeratedSeptember 3, 2018
Last updated in NPPESMarch 3, 2023
Certification dateMarch 3, 2023
Mailing address16528 Falls Rd, Upperco, MD 21155-9483

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