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

Wilson Pediatric Therapy LLC

Organization Clinical Social Worker · NPI 1356912612

Wilson Pediatric Therapy LLC provides Clinical Social Worker services in Lexington, Kentucky. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

424 Lewis Hargett Cir Ste B100
Lexington, KY 40503-3683
Phone: (859) 475-4305
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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

Record details

NPI number1356912612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kresta Wilson — Owner/Ceo · (859) 475-4305
NPI enumeratedJuly 8, 2021
Last updated in NPPESJuly 26, 2021
Certification dateJuly 26, 2021
Mailing address424 Lewis Hargett Cir Ste B100, Lexington, KY 40503-3683

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