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

Charles Isaiah Wilson IV

Individual provider Social Worker · NPI 1295006195

Charles Isaiah Wilson IV is a Social Worker in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2012.

Licensed in
AZ
In the registry since
2012

Practice location Address checks out

4449 N 12th St Ste A1
Phoenix, AZ 85014-4520
Phone: (602) 279-1427
Fax: (602) 279-1431
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 3664065 (AZ)

Record details

NPI number1295006195
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 24, 2012
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025

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