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

Larry Donte Wilson, LCSW-C

Individual provider Clinical Social Worker · NPI 1053723338

Larry Donte Wilson, LCSW-C is a Clinical Social Worker in Frederick, Maryland. Licensed in Maryland. Registered with an NPI since 2014.

Licensed in
MD
In the registry since
2014

Practice location Address checks out

604 Solarex Ct Ste 201
Frederick, MD 21703-7005
Phone: (301) 663-8263
Fax: (301) 682-5326
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 15758 (MD)

Record details

NPI number1053723338
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-C
Sole proprietorNo
NPI enumeratedMay 21, 2014
Last updated in NPPESMay 21, 2014

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