GLEN WILSON (NPI# 1154710960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154710960 |
| Entity Type | Individual |
| Full Name | GLEN WILSON |
| Credential | LMSW |
| Practice Address |
9876 Main St Ste 100 Woodstock GA 30188-3990 |
| Practice Telephone | 7707138570 |
| Mailing Telephone | 7707138570 |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2015-01-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | MSW006625 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285638999 | Glen P Wilson | Radiology | 4901 Lang Ave Ne, Albuquerque, NM 87109-4495 | 2005-06-09 |
| Street Address |
9876 MAIN ST STE 100 |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30188-3990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548531908 | Jennifer M Herr | Counselor | 9876 Main St Ste 100, Woodstock, GA 30188-3990 | 2012-01-17 |
| 1669848123 | Austin Haedicke | Counselor | 9876 Main St Ste 100, Woodstock, GA 30188-3990 | 2015-08-18 |
| 1396131199 | Krystal Lyle Lumpkin | Counselor | 9876 Main St Ste 100, Woodstock, GA 30188-3990 | 2015-04-09 |
| 1770972218 | Mary Theresa Leone | Counselor | 9876 Main St Ste 100, Woodstock, GA 30188-3990 | 2015-01-22 |
| 1184013922 | Montakia Princess Dance | Counselor | 9876 Main St Ste 100, Woodstock, GA 30188-3990 | 2015-01-16 |
| 1841534047 | Diana Catalina Avila | Social Worker | 9876 Main St Ste 100, Woodstock, GA 30188-3990 | 2012-11-12 |
| 1689920704 | Tracy Templeton Tuck | Counselor | 9876 Main St Ste 100, Woodstock, GA 30188-3990 | 2012-07-26 |
| 1750637823 | Bridget Ann Sabbath | Social Worker | 9876 Main St Ste 100, Woodstock, GA 30188-3990 | 2012-07-26 |
| 1811262322 | Katerina Nikolova | Counselor | 9876 Main St Ste 100, Woodstock, GA 30188-3990 | 2012-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715814 | Tyler Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 South Mill Creek Court, Woodstock, GA 30188 | 2020-03-20 |
| 1881224897 | Dr. Tom LLC | Clinic/Center | 5431 Old Highway 5 Ste 206, Holly Springs, GA 30188 | 2020-01-17 |
| 1467090175 | Stacey Robin Hill | Dietitian, Registered | 210 Mcaffee St, Street Address 2, Woodstock, GA 30188 | 2019-12-12 |
| 1326681784 | Margo Vanderveen | Massage Therapist | 605 Old Hickory Road, Woodstock, GA 30188 | 2019-10-17 |
| 1275093437 | Rebekah Ruth Tchouta | Social Worker | 5166 Shotwell St, Woodstock, GA 30188 | 2019-03-23 |
| 1205395829 | Angela M Graves | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188 | 2019-03-13 |
| 1396233391 | Costco Wholesale Corporation | Hearing Aid Equipment | 113 Lincoln Street, Woodstock, GA 30188 | 2018-04-25 |
| 1659878080 | Alexis K. Brown | Counselor | 3380 Trickum Rd., Bldg 700, Woodstock, GA 30188 | 2018-04-11 |
| 1427555440 | Lisa Marie Anthony | Specialist/Technologist | 400 Arnold Mill Rd, Woodstock, GA 30188 | 2018-04-06 |
| 1497254122 | J.a.h. Enterprises, LLC | Audiologist | 12195 Hwy. 92, Suite 114-325, Woodstock, GA 30188 | 2018-02-08 |
| Find all providers in zip 30188 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275093437 | Rebekah Ruth Tchouta | Social Worker | 5166 Shotwell St, Woodstock, GA 30188 | 2019-03-23 |
| 1396256467 | Gezelle Adams | Social Worker | 1200 Walden Oaks Dr, Woodstock, IL 60098 | 2017-10-17 |
| 1912367079 | Florence Barnes | Social Worker | 602 N Madison St, Woodstock, IL 60098-3335 | 2016-03-02 |
| 1851759765 | Michelle Colleen O'leary | Social Worker | 14254 Castlebar Trl, Woodstock, IL 60098-8883 | 2016-02-05 |
| 1558728188 | Lori March | Social Worker | 2609 N Queen Anne Rd, Woodstock, IL 60098-6803 | 2016-01-27 |
| 1821455585 | Kim Monack | Social Worker | 343 S Jefferson St, Woodstock, IL 60098-3909 | 2016-01-25 |
| 1366823130 | Kimberly Mills | Social Worker | 14411 Kishwaukee Valley Rd, Woodstock, IL 60098-9631 | 2015-06-17 |
| 1255718557 | Teresa Liliana Morales | Social Worker | 1009 N Madison St, Woodstock, IL 60098-2386 | 2015-05-06 |
| 1891182309 | Susan Merlo | Social Worker | 506 Clay St, Woodstock, IL 60098-3319 | 2015-04-22 |
| 1114314895 | Nicholas Errera | Social Worker | 17205 Garden Valley Rd, Woodstock, IL 60098-9156 | 2015-04-21 |
| Find all providers in WOODSTOCK | ||||
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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.