MS. JESSICA LYN WILDE (NPI# 1023289873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023289873 |
| Entity Type | Individual |
| Full Name | MS. JESSICA LYN WILDE |
| Credential | LCSW |
| Practice Address |
439 Cortez Rd W Bradenton FL 34207-1544 |
| Practice Telephone | 9417557830 |
| Practice Fax Number | 9417555650 |
| Mailing Telephone | 9417557830 |
| Mailing Fax Number | 9417555650 |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW 8140 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548711153 | Jessica Wilde | Nurse Practitioner | 4360 Thousand Oaks Dr, San Antonio, TX 78217-2153 | 2016-10-18 |
| Street Address |
439 CORTEZ RD W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34207-1544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952465759 | Linda Maurine Martin | Counselor | 439 Cortez Rd W, Bradenton, FL 34207-1544 | 2006-12-19 |
| 1700344306 | Dominique Freeman | Specialist | 439 Cortez Rd W, Bradenton, FL 34207-1544 | 2019-03-04 |
| 1548557135 | Grant Matthew Rubendunst | Counselor | 439 Cortez Rd W, Bradenton, FL 34207-1544 | 2011-07-01 |
| 1568525574 | Family Counseling Center, Inc. | Counselor | 439 Cortez Rd W, Bradenton, FL 34207-1544 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932760543 | Yaima Alba | Dentist | 1602 State Hwy 684 W, Bradenton, FL 34207 | 2019-06-25 |
| 1770069361 | America's Pharmacy LLC. | Pharmacy | 5612 14th St W, Bradenton, FL 34207 | 2018-07-17 |
| 1265817829 | Elizabeth Anne Gross Baumgartner | Nurse Practitioner | 5515 27th St West, Bradenton, FL 34207 | 2015-07-24 |
| 1710152673 | Oasis Temps Health Care, Inc. | Nursing Care | 4814 26th Street West, Unit B, Bradenton, FL 34207 | 2008-04-22 |
| 1669694873 | Comfortable Care Dental Health Professionals, Pa | Dentist | 6513 14th Street West, Suite 131, Bradenton, FL 34207 | 2007-05-03 |
| 1831258524 | Susan Marie Mackey | Counselor | New View Counseling, 4506 26th Street West Suite C, Bradenton, FL 34207 | 2006-12-08 |
| 1073672333 | Debra K Carter | Psychologist | 4835 27th St West, Suite 125, Bradenton, FL 34207 | 2006-12-06 |
| 1033285952 | Neuromuscular Insitutute Inc | Physical Therapist | 4802 26th St West, Suite C, Bradenton, FL 34207 | 2006-11-24 |
| 1346315561 | Judith Rhea Korn | Social Worker | 6108 26th St West, Suite 3b, Bradenton, FL 34207 | 2006-11-22 |
| 1770652018 | Richard Allen Feasley | Dentist | 4418 5th St W, Bradenton, FL 34207 | 2006-11-08 |
| Find all providers in zip 34207 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811532773 | Kendra Morris Holt | Social Worker | 8730 52nd Dr E, Bradenton, FL 34211-3724 | 2019-11-14 |
| 1073170767 | Amy Hyland | Social Worker | 1207 3rd Ave E Apt A, Bradenton, FL 34208-1312 | 2019-05-29 |
| 1922579069 | Susan Wexler Crater Lcsw LLC | Social Worker | 9114 58th Dr E Ste 114, Bradenton, FL 34202-9074 | 2018-12-16 |
| 1548744600 | Sharon Chewning | Social Worker | 6511 Case Ave, Bradenton, FL 34207-5619 | 2018-09-24 |
| 1407337512 | Global Therapy and Wellness, Pllc | Social Worker | 6112 45th Street West, Bradenton, FL 34210 | 2018-08-27 |
| 1760960090 | David Jon Carlini | Social Worker | 3422 52nd St W, Bradenton, FL 34209-6322 | 2018-07-30 |
| 1922517556 | Patrick Radcliffe Yewell | Social Worker | 8847 Stone Harbour Loop, Bradenton, FL 34212-6324 | 2017-09-27 |
| 1285169755 | Jennifer Lauren Garafola | Social Worker | 1012 Estremadura Dr, Bradenton, FL 34209-3367 | 2017-04-21 |
| 1649719519 | Counseling and Consultative Services LLC | Social Worker | 3653 Cortez Blvd W, Suite 110b, Bradenton, FL 34210-3106 | 2017-02-13 |
| 1609326834 | Celeste Ann Martens | Social Worker | 6720 Washington Pl, Bradenton, FL 34207-5657 | 2016-10-12 |
| Find all providers in BRADENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.