Wilson-Miller, Roxanne Annesa

Wilson-Miller, Roxanne Annesa is an individual health care provider with primary practice located at 3057 Freedom Dr , Charlotte NC 28208-3859. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wilson-Miller, Roxanne Annesa can be contacted via phone (743) 253-7042.

Contact Information

Primary practice address
3057 Freedom Dr Charlotte NC 28208-3859
Phone: (743) 253-7042
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X C019948 North Carolina

Profile Details

NPI number 1669858858
LBN Legal business name Wilson-Miller, Roxanne Annesa
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2015
Last updated Apr 27th, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669858858 NPPES
North Carolina Other C019948 SOCIAL WORK BOARD
North Carolina MEDICAID 1316236458 SOCIAL WORK BOARD

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