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

MS. Theresa Ann Wilson, LCSW

Individual provider Clinical Social Worker · NPI 1295176733

MS. Theresa Ann Wilson, LCSW is a Clinical Social Worker in Polacca, Arizona. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
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

Milepost 388 Highway 264
Polacca, AZ 86042-4000
Phone: (928) 737-6188
Fax: (928) 737-6098
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 0698081 (NY)

Record details

NPI number1295176733
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 12, 2013
Last updated in NPPESJuly 12, 2013

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