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

Mr. Samuel Carl Wilson, PRS

Individual provider Peer Specialist · NPI 1881452019

Mr. Samuel Carl Wilson, PRS is a Peer Specialist in Willingboro, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

15 Hawthorne Ln
Willingboro, NJ 08046-1717
Phone: (609) 470-4283
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1881452019
Entity typeIndividual (Type 1)
GenderMale
Credentials PRS
Sole proprietorYes
NPI enumeratedMarch 12, 2024
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024