JESSE WILLARD WOODS III (NPI# 1265093579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265093579 |
| Entity Type | Organization |
| Organization Name | JESSE WILLARD WOODS III |
| Other Organization Name | JWWIII MEDICAL BROKERAGE SERVICES |
| Practice Address |
1410 N 31st St Philadelphia PA 19121-3870 |
| Practice Telephone | 2152584815 |
| Mailing Telephone | 2152584815 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | TIGER D. RAVEN-MELCHIZ EL (BUSINESS MANAGER) |
| Authorized Official Telephone | 2154354203 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174H00000X | Health Educator | Other Service Providers | ||
| N | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Other Name | Type Code |
|---|---|
| JWWIII Medical Brokerage Services | Doing Business As Name - Organization |
| Street Address |
1410 N 31ST ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19121-3870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033772405 | Jesse Willard Woods IIi | Counselor | 1410 N 31st St, Philadelphia, PA 19121-3870 | 2019-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356975445 | Shaun Shields | Specialist/Technologist | 1814 N. Broad Street, Philadelphia, PA 19121 | 2020-02-27 |
| 1225682503 | Ebony Qiana Morrison | Technician | 2202 Ridge Avenue, 2nd Floor Rm 203, Philadelphia, PA 19121 | 2019-07-25 |
| 1003398462 | Lyn Morrissa Meyerhoff | Specialist/Technologist | 1800 N. Broad Street, Philadelphia, PA 19121 | 2018-09-03 |
| 1356853576 | George E Kinsler | Pharmacist | 1941 N 24th St, Phila, PA 19121 | 2017-10-27 |
| 1205358652 | Perfect Love & Care LLC | Home Health | 1812 North Croskey Street, Philadelphia, PA 19121 | 2017-07-07 |
| 1427405257 | Rite-care Pharmacy Inc. | Pharmacy | 2213 Ridge Ave., Philadelphia, PA 19121 | 2016-05-23 |
| 1356735831 | Eguono Eduvie | Psychiatry & Neurology | 1700 N.broad St., 2nd Foor, Philadelphia, PA 19121 | 2015-03-24 |
| 1285986828 | Young Scholars Frederick Douglass Charter School | Local Education Agency (LEA) | 2118 W Norris St., Philadelphia, PA 19121 | 2012-10-05 |
| 1568764470 | Young Scholars Frederick Douglass Charter School | Local Education Agency (LEA) | 2118 W Norris St, Philadelphia, PA 19121 | 2010-11-29 |
| 1730408683 | Pamela Lewis | Registered Nurse | Serenity Court, 1221 N. 19th St., Philadelphia, PA 19121 | 2010-05-18 |
| Find all providers in zip 19121 | ||||
| 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 |
|---|---|---|---|---|
| 1386250546 | Lindsay Margarida Stiem | Case Manager/Care Coordinator | 3600 Market St Fl 6, Philadelphia, PA 19104-2669 | 2020-09-22 |
| 1023633872 | Raenita Janay Robinson | Case Manager/Care Coordinator | 3600 Market St # 6thf, Philadelphia, PA 19104-3284 | 2020-06-08 |
| 1124656467 | Desiree Driver | Case Manager/Care Coordinator | 2417 Welsh Rd Ste 209, Philadelphia, PA 19114-2211 | 2020-03-31 |
| 1497399323 | Deborah Calvert | Case Manager/Care Coordinator | 3550 Market St Fl 5, Philadelphia, PA 19104-3364 | 2019-11-04 |
| 1386298230 | Danielle Rose | Case Manager/Care Coordinator | 9586 James St # B, Philadelphia, PA 19114-3059 | 2019-07-30 |
| 1619521077 | Guiding Hands Support Coordination Services | Case Manager/Care Coordinator | 3538 Drumore Dr, Philadelphia, PA 19154-3912 | 2019-07-24 |
| 1285296806 | Rokyatou Sylla | Case Manager/Care Coordinator | 3019 S 68th St, Philadelphia, PA 19142-3321 | 2019-07-03 |
| 1578129516 | Peace and Serenity Support Services LLC | Case Manager/Care Coordinator | 4700 City Ave Apt 10305, Philadelphia, PA 19131-1572 | 2019-05-15 |
| 1750843462 | Sherri Lewis | Case Manager/Care Coordinator | 624 S Yewdall St, Philadelphia, PA 19143-2522 | 2019-04-02 |
| 1184181638 | Rafiah Williams | Case Manager/Care Coordinator | 2712b W York St, Philadelphia, PA 19132-3511 | 2019-02-20 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19121 |
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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.