EDWINA WILSON (NPI# 1083850739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083850739 |
| Entity Type | Individual |
| Full Name | EDWINA WILSON |
| Credential | LCSW |
| Practice Address |
4 Shackleford Plz Suite 210 Little Rock AR 72211-1826 |
| Mailing Address |
15 Ridgeview Ct Little Rock AR 72227-2340 |
| Practice Telephone | 5013526101 |
| Mailing Telephone | 5013526101 |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2008-12-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1076-C | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104979384 | Edwina Wilson | Social Worker | 65 Forest Dr., Varnville, SC 29944 | 2007-01-19 |
| 1053313957 | Edwina C Wilson | Family Medicine | 833 Buffalo St, Suite 200, Farmville, VA 23901-1111 | 2005-08-11 |
| Street Address |
4 SHACKLEFORD PLZ SUITE 210 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211-1826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588651483 | Michelle S. Coleman | Counselor | 4 Shackleford Plz, Suite 101, Little Rock, AR 72211-1826 | 2005-10-05 |
| 1962969386 | Yolanda Mccallum | Counselor | 4 Shackleford Plz, Little Rock, AR 72211-1826 | 2019-02-21 |
| 1033569579 | Arkansas Relationship Counseling Center | Counselor | 4 Shackleford Plz, Suite 202, Little Rock, AR 72211-1826 | 2016-06-15 |
| 1124483367 | Arkansas Relationship Counseling | Clinic/Center | 4 Shackleford Plz, Ste 202, Little Rock, AR 72211-1826 | 2015-12-14 |
| 1568806867 | Infinite Hope Counseling | Community/Behavioral Health | 4 Shackleford Plz, Suite 205, Little Rock, AR 72211-1826 | 2013-04-18 |
| 1891050852 | Donna Sue Mcspadden | Social Worker | 4 Shackleford Plz, Suite 100, Little Rock, AR 72211-1826 | 2012-07-05 |
| 1114108024 | John Milton Faucett | Psychologist | 4 Shackleford Plz, Suite 103, Little Rock, AR 72211-1826 | 2007-11-19 |
| 1376731539 | Theresa L Qualls | Counselor | 4 Shackleford Plz, Suite 204, Little Rock, AR 72211-1826 | 2007-10-11 |
| 1417158841 | Bobbie Sue Boyd | Counselor | 4 Shackleford Plz, Suite 103, Little Rock, AR 72211-1826 | 2007-05-31 |
| 1295825354 | Pinnacle Anesthesia Consultants, Pllc | Specialist | 4 Shackleford Plz, Suite 212, Little Rock, AR 72211-1826 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
| 1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
| 1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
| Find all providers in zip 72211 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003425703 | Apollo Health, LLC | Counselor | 11715 Rainwood Rd Ste B6, Little Rock, AR 72212-3968 | 2020-07-28 |
| 1376168120 | Shea Wood | Counselor | 8 Shackleford Plz Ste 206, Little Rock, AR 72211-1853 | 2020-06-08 |
| 1740803683 | Ryan Russ LLC | Counselor | 1900 N Bryant St Ste 310, Little Rock, AR 72207-5022 | 2020-05-27 |
| 1003443953 | David Laser Jr. | Counselor | 3700 W 65th St, Little Rock, AR 72209-8552 | 2020-03-23 |
| 1992331508 | Seth Thomas Gilleran | Counselor | 14710 Cantrell Rd Ste 7a, Little Rock, AR 72223-4253 | 2020-03-14 |
| 1568004240 | Cheyenne Parker | Counselor | 20400 Col Glenn Road Youth Home, Inc., Little Rock, AR 72210-5323 | 2019-10-14 |
| 1104473198 | Carrie Teresa Calhoon | Counselor | 1100 N University Ave Ste 137, Little Rock, AR 72207-6344 | 2019-08-23 |
| 1730668864 | Raysha Clark | Counselor | 10515 W Markham St Ste K4, Little Rock, AR 72205-2287 | 2018-08-09 |
| 1003306804 | Chris Beasley | Counselor | 9819 Margie Cir, Little Rock, AR 72209-6521 | 2018-05-16 |
| 1841787090 | Martin Counseling Services, LLC | Counselor | 1100 N University Ave Ste 210, Little Rock, AR 72207-6359 | 2018-04-13 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72211 |
Please comment or provide details below to improve the information on EDWINA WILSON.
| 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.