MS. THERESA ANN WILSON (NPI# 1295176733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295176733 |
| Entity Type | Individual |
| Full Name | MS. THERESA ANN WILSON |
| Credential | LCSW |
| Practice Address |
Milepost 388 Highway 264 Polacca AZ 86042-4000 |
| Mailing Address |
Po Box 4000 Polacca AZ 86042-4000 |
| Practice Telephone | 9287376188 |
| Practice Fax Number | 9287376098 |
| Mailing Telephone | 9287376188 |
| Mailing Fax Number | 9287376098 |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0698081 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710436274 | Theresa Mae Wilson | Registered Nurse | 205 W Park St, Oak Harbor, OH 43449-1239 | 2016-09-26 |
| 1063816916 | Theresa Marie Wilson | Social Worker | 138 Summer St, North Easton, MA 02356-2242 | 2014-10-21 |
| 1821362286 | Theresa O'bryan Wilson | Social Worker | 11961 Packets St Nw, Canal Fulton, OH 44614-8453 | 2012-03-02 |
| 1194965244 | Theresa Wilson | Speech-Language Pathologist | 9 Ira Ct, Brooklyn, NY 11229-5985 | 2009-03-03 |
| 1760631592 | Theresa Wilson | Nurse Practitioner | 638 Camino De Los Mares Ste D, Minute Clinic 8882, San Clemente, CA 92673 | 2008-09-17 |
| 1821205444 | Theresa C Wilson | Social Worker | 900 Dudley Ave, Cherry Hill, NJ 08002-4426 | 2007-05-16 |
| 1023151628 | Theresa Wilson | Registered Nurse | 231 Wilson Pike Cir Ste 200, Brentwood, TN 37027-5286 | 2007-02-14 |
| 1780234948 | Theresa Marie Wilson | Case Manager/Care Coordinator | 11512 B Ave, Auburn, CA 95603-2605 | 2019-09-18 |
| 1811479264 | Theresa Lynn Wilson | Occupational Therapist | 508 W Trilby Rd, Fort Collins, CO 80526 | 2018-09-02 |
| 1073001806 | Theresa Lee Wilson | Counselor | 3705 Avenue A, Lubbock, TX 79404-2439 | 2018-04-26 |
| Street Address |
MILEPOST 388 HIGHWAY 264 |
| City | POLACCA |
| State | AZ |
| Zip Code | 86042-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553787 | Megan Gilliam | Pharmacist | Mile Post 288 Hwy 264, Polacca, AZ 86042 | 2020-09-21 |
| 1295348787 | Emma Guadalupe Cortez | Nurse's Aide | Hopi Health Care, Hwy 264 Mp 388, Polacca, AZ 86042 | 2020-08-25 |
| 1942835434 | Kevin C Powers | Registered Nurse | Route 264 Mp 388, Polacca, AZ 86042 | 2020-03-05 |
| 1780217463 | Kim N Le | Family Medicine | Mile Post 388 Highway 264, Polacca, AZ 86042 | 2020-02-20 |
| 1265959365 | Karen Olivia Francis | Registered Nurse | Highway 264 Mile Post, Hopi Health Care Facility, Polacca, AZ 86042 | 2017-08-29 |
| 1629598339 | Marina Kanoelani Mehau-sanchez | Pharmacist | Hwy 264 At Mile Post 388, Hopi Health Care Center, Polacca, AZ 86042 | 2017-06-23 |
| 1184096786 | Erica Lalo | Technician, Other | Hwy 264 Mp388, Polacca, AZ 86042 | 2015-10-22 |
| 1790124618 | Michael Everett Robinson | Registered Nurse | Highway 264 Mile Post 388, Polacca, Az 86042, Hopi Health Care Center (ihs), Polacca, AZ 86042 | 2013-06-25 |
| 1760728232 | Rhanishia Smith | Registered Nurse | Highway 264 Mile Pot 388, Polacca, AZ 86042 | 2013-01-02 |
| 1871818492 | Stacy Talahytewa II | Radiologic Technologist | Hwy 264 Mile Post 388, Polacca, AZ 86042 | 2010-04-07 |
| Find all providers in zip 86042 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891130522 | Hopi Health Care Center | Social Worker | Highway 264 Milepost 388, Polacca, AZ 86042-4000 | 2013-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426204 | Aimee Benton Wickersham | Social Worker | 15593 W Mackenzie Dr, Goodyear, AZ 85395-7779 | 2020-10-28 |
| 1205436474 | Cherilin Michelle Diefenbacher-phariss | Social Worker | 43180 W Arizona Ave, Maricopa, AZ 85138-8232 | 2020-10-27 |
| 1679173181 | Jill M Robinson | Social Worker | 8804 N. 23rd Ave, Bldg. A Ste. A01-a02, Phoenix, AZ 85021 | 2020-10-26 |
| 1669070710 | Erica Rhea Wagner | Social Worker | 4873 E Cooper St, Tucson, AZ 85711-3617 | 2020-10-12 |
| 1376141697 | Kristen Beuchat Alaniz | Social Worker | 2520 W Brookhart Way, Phoenix, AZ 85085-3725 | 2020-10-09 |
| 1780281659 | Robin Slavit | Social Worker | 5550 E Deer Valley Dr Apt 426, Phoenix, AZ 85054-5673 | 2020-10-05 |
| 1053928648 | Elizabeth Sarah Kieding | Social Worker | 4732 E Calle Elegante, Tucson, AZ 85718-3733 | 2020-09-28 |
| 1386259778 | Yolanda Jeli | Social Worker | 1701 W Saint Marys Rd Ste 117, Tucson, AZ 85745-2621 | 2020-09-11 |
| 1396359378 | Gary Santorella | Social Worker | 16102 E Glenpoint Dr, Fountain Hills, AZ 85268-3115 | 2020-09-07 |
| 1043822869 | Matthew Christopher Durdovic | Social Worker | 3250 E 40th St Bldg B, Yuma, AZ 85365-7994 | 2020-08-21 |
| Find all providers with the same taxonomy | ||||
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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.