MRS. WENDY RENE' KACZYNSKI (NPI# 1215117072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215117072 |
| Entity Type | Individual |
| Full Name | MRS. WENDY RENE' KACZYNSKI |
| Practice Address |
4620 Cedar Ave Suite 118 Wilmington NC 28403-4424 |
| Mailing Address |
5616 Maxwell Pl Wilmington NC 28409-2966 |
| Practice Telephone | 9107905150 |
| Practice Fax Number | 9107909011 |
| Mailing Telephone | 9107939996 |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2007-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8301324B | 05 |
| Street Address |
4620 CEDAR AVE SUITE 118 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-4424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396928594 | Eastern Carolina Case Management, LLC | Community/Behavioral Health | 4620 Cedar Ave, Suite 118, Wilmington, NC 28403-4424 | 2007-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487288668 | Pamela Sue Whalen | Case Manager/Care Coordinator | 602 S South St, Wilmington, OH 45177-2791 | 2020-02-27 |
| 1871157636 | Marsha Weatherly | Case Manager/Care Coordinator | 4209b Whitehurst Dr, Wilmington, NC 28409-4857 | 2019-04-26 |
| 1427511609 | Mark Anthony Mason | Case Manager/Care Coordinator | 836 N Dupont St, Wilmington, DE 19805-5327 | 2019-04-13 |
| 1447739677 | Frederick Dontae Coleman-leopold | Case Manager/Care Coordinator | 24505 S Avalon Blvd #12, Wilmington, CA 90744-9074 | 2018-08-08 |
| 1639674344 | David Lee Mcelwee | Case Manager/Care Coordinator | 1422 Fresno Rd, Wilmington, DE 19803-5122 | 2018-03-26 |
| 1306395066 | Minnie Prentice | Case Manager/Care Coordinator | 1908 Castle St, Wilmington, NC 28403-2106 | 2016-09-22 |
| 1902203219 | Lindsey Callahan | Case Manager/Care Coordinator | 275 Thorne Ave, Wilmington, OH 45177-1217 | 2014-12-02 |
| 1316230584 | Lynne Marie Trayers | Case Manager/Care Coordinator | 15 Marion St, Wilmington, MA 01887-3131 | 2011-05-22 |
| 1902108681 | Stephanie Neubauer | Case Manager/Care Coordinator | 3904 Oleander Dr Ste 102, Wilmington, NC 28403-6735 | 2010-12-01 |
| 1427371582 | Robert Earl Firestone | Case Manager/Care Coordinator | 4715b Market St, Wilmington, NC 28405-3423 | 2010-03-03 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on MRS. WENDY RENE' KACZYNSKI.
| 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.