MR. JEREMY SHANE WILSON (NPI# 1245747757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245747757 |
| Entity Type | Individual |
| Full Name | MR. JEREMY SHANE WILSON |
| Credential | CSW, LSW |
| Practice Address |
5400 Edalbert Dr Cincinnati OH 45239-7604 |
| Practice Telephone | 8595365808 |
| Practice Fax Number | 5137415686 |
| Mailing Telephone | 5137413100 |
| Mailing Fax Number | 5137415686 |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | S.1000131 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962929216 | Jeremy Wilson | Physical Therapist | 10 Silver View Ct, Morgantown, WV 26505-3932 | 2017-08-28 |
| 1821357716 | Jeremy Wilson | Behavioral Analyst | 1673 Donlon St Ste 204, Ventura, CA 93003-5668 | 2012-05-11 |
| 1154933364 | Jeremy Gordon Wilson | Behavior Technician | 900 Branchview Dr Ne, Concord, NC 28025-2213 | 2020-08-19 |
| 1609347699 | Jeremy Wilson | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-12-17 |
| 1053863027 | Jeremy Wilson | Massage Therapist | 2701 Northwest Ave, Bellingham, WA 98225-2300 | 2016-10-26 |
| 1295289593 | Jeremy Daniel Wilson | Case Manager/Care Coordinator | 1815 Pleasant Grove Rd, Jonesboro, AR 72401-7870 | 2016-08-04 |
| 1447703277 | Jeremy Wilson | Chiropractor | 3710 I 55 N, Jackson, MS 39211-6323 | 2016-07-28 |
| 1902275142 | Jeremy L Wilson | Registered Nurse | 888 Swift Blvd, Richland, WA 99352-3514 | 2015-09-17 |
| 1801106158 | Jeremy R Wilson | Chiropractor | 3223a N Pleasantburg Dr, Greenville, SC 29609-2900 | 2010-10-19 |
| 1619124096 | Jeremy Oren Wilson | Case Manager/Care Coordinator | 700 S. Main, Mountain Home, AR 72653-4445 | 2008-08-27 |
| Street Address |
5400 EDALBERT DR |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45239-7604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043251234 | Jodi Glass | Counselor | 5400 Edalbert Dr, Cincinnati, OH 45239 | 2006-06-09 |
| 1083215453 | Rebecca Menzel | Case Manager/Care Coordinator | 5400 Edalbert Dr, Cincinnati, OH 45239-7604 | 2020-11-03 |
| 1164023537 | Kenee Reana Delaney | Case Manager/Care Coordinator | 5400 Edalbert Dr, Cincinnati, OH 45239-7695 | 2020-11-03 |
| 1518568989 | Kelley N Mccollum-uyeno | Case Manager/Care Coordinator | 5400 Edalbert Dr, Cincinnati, OH 45239-7695 | 2020-11-03 |
| 1477150290 | Logan T Cooper | Case Manager/Care Coordinator | 5400 Edalbert Dr, Cincinnati, OH 45239-7604 | 2020-10-05 |
| 1376140194 | Madison Jacqueline Britt | Case Manager/Care Coordinator | 5400 Edalbert Dr, Cincinnati, OH 45239-7695 | 2020-10-05 |
| 1629675442 | Tracey Norman | Case Manager/Care Coordinator | 5400 Edalbert Dr, Cincinnati, OH 45239-7604 | 2020-10-05 |
| 1295349025 | Robert Wayne Dennis | Case Manager/Care Coordinator | 5400 Edalbert Dr, Cincinnati, OH 45239-7604 | 2020-08-31 |
| 1124631957 | Makenzie Paige Theiss | Case Manager/Care Coordinator | 5400 Edalbert Dr, Cincinnati, OH 45239-7604 | 2020-08-31 |
| 1568073146 | Zachary Fannin | Case Manager/Care Coordinator | 5400 Edalbert Dr, Cincinnati, OH 45239-7604 | 2020-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003312786 | Personal Companions Home Care LLC | Home Health | 6225 Colerain Ave Ste C, Cincinnati, OH 45239 | 2018-04-02 |
| 1447769047 | Divine Destiny Home Care Agency | In Home Supportive Care | 6625 New Bridge Dr., Cincinnati, OH 45239 | 2017-09-26 |
| 1063939262 | Alexandra Cunningham | Registered Nurse | 5730 Colerain Ave., Cincinnati, OH 45239 | 2017-08-28 |
| 1598289803 | Jeanise D Randolph | Case Manager/Care Coordinator | 3425 North Bend Suite F, Cincinnati, OH 45239 | 2017-07-28 |
| 1407385925 | Odessey Residential Homes LLC | Assisted Living Facility | 8240 Pippin Rd, Cincinnati, OH 45239 | 2017-06-08 |
| 1841727625 | Danita Marie White | Counselor | 5887 Montfort Hills Ave. #3, Cincinnati, OH 45239 | 2017-05-11 |
| 1801249867 | Regina Gullette | Counselor | 5980 Colerain Ave, 36, Cincinnati, OH 45239 | 2016-07-14 |
| 1811393051 | Angela Bien | Psychologist | 3420 Banning Road, Cincinnati, OH 45239 | 2014-11-17 |
| 1568895076 | Shavonne Noble | Registered Nurse | 1830 Sundale Ave, Cincinnati, OH 45239 | 2013-08-20 |
| 1609216613 | Eusebio Tiu Gaw | Surgery | 3515 Banning Rd., Cincinnati, OH 45239 | 2013-07-05 |
| Find all providers in zip 45239 | ||||
| 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 |
|---|---|---|---|---|
| 1245839513 | Kathryn Coulson | Social Worker | 2521 Hackberry St Apt 6, Cincinnati, OH 45206-2143 | 2020-10-19 |
| 1730799602 | Nichole Ferguson | Social Worker | 6445 Mayflower Ave, Cincinnati, OH 45237-4401 | 2020-08-05 |
| 1588286918 | Dezire D Lowry | Social Worker | 601 Lowell Ave Apt 15, Cincinnati, OH 45220-2363 | 2020-05-07 |
| 1710508668 | Angela Bird | Social Worker | 9554 Galecrest Dr, Cincinnati, OH 45231-3954 | 2020-05-01 |
| 1376173930 | Karhma Foster | Social Worker | 905 W North Bend Rd, Cincinnati, OH 45224-2268 | 2020-01-23 |
| 1114572765 | Victoria Baize | Social Worker | 411 Oak St # 3, Cincinnati, OH 45219-2504 | 2019-08-08 |
| 1689228132 | Jessica D Mandich | Social Worker | 415 Glensprings Drive Suite 201, Cincinnati, OH 45246 | 2019-08-01 |
| 1073167375 | Kathryn R Reese | Social Worker | 7162 Reading Rd Ste 600, Cincinnati, OH 45237-3800 | 2019-07-25 |
| 1811558067 | Courtney Stepp | Social Worker | 907 Vine St, Cincinnati, OH 45202 | 2019-06-27 |
| 1336702372 | Michaela Shakespeare | Social Worker | 636 Northland Blvd Ste 200, Cincinnati, OH 45240-3273 | 2019-04-16 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45239 |
Please comment or provide details below to improve the information on MR. JEREMY SHANE 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.