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

Individual provider Clinical Social Worker · NPI 1346664661

Sandra Kathryn Wilson, LCSW, ASOTP is a Clinical Social Worker in Beaumont, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2014
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

5825 Phelan Blvd Ste 101
Beaumont, TX 77706-6249
Phone: (409) 860-0001
Fax: (409) 860-0010
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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 23427 (TX)

Record details

NPI number1346664661
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , ASOTP
Sole proprietorYes
NPI enumeratedFebruary 6, 2014
Last updated in NPPESDecember 12, 2014

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