IndividualActive
Brodie Wilson, LMSW
NPI 1710658976 · Social Worker · Ellsworth Afb, SD
Provider details
- NPI number
- 1710658976
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- License
- 103451 (TX)
Practice location
2900 Doolittle Dr
Ellsworth Afb, SD 57706-4821
Phone: (605) 385-3656
Mailing address
2900 Doolittle Dr
Ellsworth Afb, SD 57706-4821
Registry dates
- Enumerated
- 2021-09-27
- Last updated
- 2023-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.