Healthcare Provider Details

I. General information

NPI: 1720462328
Provider Name (Legal Business Name): APRIL WILSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2015
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 E OCEAN AVE STE E
LOMPOC CA
93436-6926
US

IV. Provider business mailing address

PO BOX 1071
ARROYO GRANDE CA
93421-1071
US

V. Phone/Fax

Practice location:
  • Phone: 805-225-6995
  • Fax:
Mailing address:
  • Phone: 805-965-2376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number116231
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number113698
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number25693
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number64461
License Number StateMT
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number09932440
License Number StateCO
# 6
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number22802
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: