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

Mr. Michael Chad Wilson, LCSW

Individual provider Clinical Social Worker · NPI 1366708216

Mr. Michael Chad Wilson, LCSW is a Clinical Social Worker in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2012.

Licensed in
ID
In the registry since
2012
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

10421 W Brownstone Dr
Boise, ID 83709-5612
Phone: (208) 724-0913
Fax: (208) 561-8373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-31906 (ID)

Record details

NPI number1366708216
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 4, 2012
Last updated in NPPESNovember 6, 2023
Certification dateNovember 3, 2023

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