Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Chace Wilson

Individual provider Social Worker · NPI 1952156200

Chace Wilson is a Social Worker in Central Islip, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2024
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Practice location Address checks out

320 Carleton Ave
Central Islip, NY 11722-4506
Phone: (631) 663-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3600 Route 112, Coram, NY 11727-4116 — (631) 920-8630

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 123174 (NY)

Record details

NPI number1952156200
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 20, 2024
Last updated in NPPESOctober 6, 2026
Certification dateOctober 6, 2026

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