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

Individual provider Mental Health Counselor · NPI 1104307412

Harvey Taylor Wilson, LICSW is a Mental Health Counselor in Provincetown, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2018
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

21 Bayberry Ave
Provincetown, MA 02657-1214
Phone: (508) 487-2735
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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 1016242-SW-LICSW (MA)

Record details

NPI number1104307412
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 24, 2018
Last updated in NPPESAugust 24, 2018

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