Cedric Wilson
Cedric Wilson is a Clinical Social Worker in Roanoke, Virginia. Qualified in 2017, 9 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Virginia.
- Years since qualifying
- 9
- Licensed in
- VA
- In the registry since
- 2020
- Specialties on file
- 4
Practice location Address checks out
3959 Electric Rd Ste 330Roanoke, VA 24018-4563
Phone: (540) 339-7674
Fax: (540) 685-0994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 0701008867 (VA) |
|---|---|
| Counselor | Taxonomy 101Y00000X · Licence 0701008867 (VA) |
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 0701008867 (VA) |
| Professional Counselor | Taxonomy 101YP2500X · Licence 0701008867 (VA) |
Record details
| NPI number | 1922624154 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 23, 2020 |
| Last updated in NPPES | October 5, 2023 |
| Certification date | October 5, 2023 |
| Mailing address | 2907 Oak Crest Ave Sw, Roanoke, VA 24015-4609 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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Julie Thompson, LCSW
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-
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Cecilia Florencia Vera, LPC
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Mr. Charles J Wills, LPC
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