CARLY KRISTEN WILSON (NPI# 1518367630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518367630 |
| Entity Type | Individual |
| Full Name | CARLY KRISTEN WILSON |
| Credential | LICSW |
| Practice Address |
200 Springs Rd Bedford MA 01730 |
| Practice Telephone | 7816872000 |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
120019 | MA | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396386215 | Carly Wilson | Nurse Practitioner | 40606 Mill Road Ct E, Novi, MI 48375-5023 | 2019-10-02 |
| 1477026763 | Carly R Wilson | Speech-Language Pathologist | 2614 S 15th Pl, Broken Arrow, OK 74012-7286 | 2019-01-09 |
| 1205326642 | Carly J Wilson | Specialist/Technologist | Blatt Pe Center - Exercise Science 1300 Wheat Street, Columbia, SC 29208-1121 | 2018-05-10 |
| 1407373400 | Carly Beth Wilson | Case Manager/Care Coordinator | 104 E Three Oaks Dr, Luther, OK 73054-8700 | 2017-08-29 |
| 1992351423 | Carly Renae Wilson | Social Worker | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-08-12 |
| 1902318975 | Carly Sue Wilson | Nurse Practitioner | 790 Veterans Way, Pensacola, FL 32507-1000 | 2017-10-31 |
| 1760737381 | Carly M Wilson | Physical Therapist | 400 W Arbrook Blvd, Suite 151, Arlington, TX 76014-3174 | 2012-07-19 |
| Street Address |
200 SPRINGS RD |
| City | BEDFORD |
| State | MA |
| Zip Code | 01730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497749618 | Sven Knudsen Ljaamo | Preventive Medicine | 200 Springs Rd, Edith Nourse Rodgers Memorial Va Hospital, Bedford, MA 01730-1114 | 2005-09-02 |
| 1740889161 | Elias Mbogo | Licensed Practical Nurse | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-10-19 |
| 1740898089 | Hillary Elizabeth Silvia | Nurse Practitioner | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-07-22 |
| 1669099131 | Robert Jurgens Parker | Nurse Practitioner | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-07-01 |
| 1962029314 | Philip Tah | Licensed Practical Nurse | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-07-01 |
| 1396368387 | Douglas Allen | Optometrist | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-05-25 |
| 1407476963 | Stacy Kathy Tsionis | Registered Nurse | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-04-24 |
| 1063040962 | Garret Sacco | Psychologist | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-03-28 |
| 1770123838 | Hannah Murphy | Social Worker | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-01-07 |
| 1164062220 | Spencer Logan Diehl | Social Worker | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134779614 | Access Physical Therapy, LLC | Physical Therapist | 158 Great Rd Unit J, #661, Bedford, MA 01730 | 2019-09-16 |
| 1578113478 | Holly Babineau | Counselor | Building 7, Springs Rd, Bedford, MA 01730 | 2019-09-13 |
| 1205318656 | Ella Bitman | Social Worker | 9 Mudge Way, Bedford, MA 01730 | 2018-09-02 |
| 1578045928 | Abaigeal Doherty | Counselor | 205 Burlington Road, Bedford, MA 01730 | 2018-09-02 |
| 1669950853 | Patriot Urgent Care Professionals, PC | General Practice | 154 Great Road, Bedford, MA 01730 | 2018-07-31 |
| 1609369701 | Katharine Smidt | Psychologist | 61 Springs Rd, Bedford, MA 01730 | 2018-06-13 |
| 1043702053 | Bethel Care International Inc | Home Health Aide | 114 Page Rd, Bedford, MA 01730 | 2018-06-05 |
| 1689187064 | Lori Merlo | Physical Therapist | 6 Paul Revere Road, Bedford, MA 01730 | 2017-11-08 |
| 1093268260 | Patriot Urgent Care Professionals, PC | Clinic/Center | 160 Great Road, Unit 4a, Bedford, MA 01730 | 2016-07-25 |
| 1568839991 | Amy Bonneau | Social Worker | 59 Grenier St, Bldg 1509, Hanscom Afb, MA 01730 | 2015-09-02 |
| Find all providers in zip 01730 | ||||
| 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 |
|---|---|---|---|---|
| 1326667288 | Carole Marie Lafreniere | Social Worker | 2904 Shady Knoll Ln, Bedford, TX 76021-4131 | 2020-04-10 |
| 1578103628 | Brittny Rose Tobey | Social Worker | 200 Springs Rd Bldg 9, Bedford, MA 01730-1114 | 2020-01-07 |
| 1003386517 | Ann Nora Brooks | Social Worker | 2 Wagon Wheel Dr, Bedford, MA 01730-1235 | 2018-11-27 |
| 1134604929 | Elizabeth Fried Ellen | Social Worker | 115 Page Rd, Bedford, MA 01730-1817 | 2018-09-27 |
| 1649754128 | Lisa Mcdonald | Social Worker | 9 Fern Way, Bedford, MA 01730-2103 | 2018-09-20 |
| 1962986695 | Jennifer Lydon | Social Worker | 1000 Albion Road, Bedford, MA 01730-0173 | 2018-09-19 |
| 1093299968 | Jenny Diez | Social Worker | 6 Bedford Vlg Apt A, Bedford, MA 01730-1705 | 2018-09-18 |
| 1659852861 | Carol Bittenson | Social Worker | 10 Caribou St, Bedford, MA 01730-1921 | 2018-08-25 |
| 1912485699 | Tina Nappi | Social Worker | 137 Page Rd, Bedford, MA 01730-1821 | 2018-08-03 |
| 1619454766 | Karen Demarco | Social Worker | 279 Concord Rd, Bedford, MA 01730-2005 | 2018-07-22 |
| Find all providers in BEDFORD | ||||
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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.