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

Thomas Theodore Wilson, LCSW

Individual provider Clinical Social Worker · NPI 1083465264

Thomas Theodore Wilson, LCSW is a Clinical Social Worker in Rochester, New York. Licensed in California and New York. Registered with an NPI since 2024.

Licensed in
CA, NY
In the registry since
2024
Specialties on file
2
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

1381 E Ridge Rd Ste 5
Rochester, NY 14621-2019
Phone: (585) 922-2500
Fax: (585) 922-2710
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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 101271 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 116209 (CA)

Record details

NPI number1083465264
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 27, 2024
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

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