MEDICARE: ZACHARY A WILSON LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LICSW111525	MA

General Provider Information

NPI Number	:	1740835651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY A WILSON LICSW

Provider Business Mailing Address
First Line	:	4 MOUNT ROYAL AVE STE 4-360
Second Line	:
City	:	MARLBOROUGH
State	:	MA
Zip	:	01752-1961
Country	:	US
Telephone Number	:	603-498-3462
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 MOUNT ROYAL AVE STE 4-360
Second Line	:
City	:	MARLBOROUGH
State	:	MA
Zip	:	01752-1961
Country	:	US
Telephone Number	:	978-222-3121
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2019
Last Update Date	:	05/19/2026

Similar Medicare Providers

1841512993 — KRISTINE JILL HEALEY
Practice Location Address:

4 MOUNT ROYAL AVE STE 360
MARLBOROUGH, MA
01752-1961

Practice Phone: 978-222-3121
Practice Fax:

1992297238 — CHRISTINE PERRY LMHC
Practice Location Address:

4 MOUNT ROYAL AVE STE 360
MARLBOROUGH, MA
01752-1961

Practice Phone: 978-222-3121
Practice Fax:

1770169534 — PERSIVIA CARE, LLC
Practice Location Address:

4 MOUNT ROYAL AVE STE 400
MARLBOROUGH, MA
01752-1961

Practice Phone: 978-856-4504
Practice Fax:

1205692928 — LAURA POLIZOTI LMHC
Practice Location Address:

4 MOUNT ROYAL AVE STE 360
MARLBOROUGH, MA
01752-1961

Practice Phone: 508-410-4221
Practice Fax:

1124450705 — AMBEREEN FATIMA DDS
Practice Location Address:

340 MAPLE ST STE 100
MARLBOROUGH, MA
01752-3231

Practice Phone: 508-481-0110
Practice Fax: 508-481-7110

1154126175 — I-SMILE DENTAL ARTS STUDIO PC
Practice Location Address:

340 MAPLE ST STE 100
MARLBOROUGH, MA
01752-3231

Practice Phone: 508-481-0110
Practice Fax: 508-481-7110

Directions to “ ZACHARY A WILSON LICSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.