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

Robert W Wilson, LCSW

Individual provider Clinical Social Worker · NPI 1093084683

Robert W Wilson, LCSW is a Clinical Social Worker in Tempe, Arizona. Qualified in 1991, 35 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
35
Licensed in
AZ
In the registry since
2011
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

2120 S McClintock Dr Ste 105
Tempe, AZ 85282-2692
Phone: (480) 804-0326
Fax: (480) 804-0083
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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 LCSW-10294 (AZ)

Record details

NPI number1093084683
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 28, 2011
Last updated in NPPESApril 23, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Sondermind Provider Network Llc — 1258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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