SUSANNE WILBUR (NPI# 1629173950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629173950 |
| Entity Type | Individual |
| Full Name | SUSANNE WILBUR |
| Credential | LCSW |
| Practice Address |
325 Four Leaf Ln Ste 12 Charlottesville VA 22903-9203 |
| Mailing Address |
Po Box 154 Ivy VA 22945-0154 |
| Practice Telephone | 4346080989 |
| Practice Fax Number | 4348231174 |
| Mailing Telephone | 4346080989 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2016-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904005756 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010046904 | 05 |
| Street Address |
325 FOUR LEAF LN STE 12 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-9203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225006521 | Shannon Campbell Franklin | Optometrist | 325 Four Leaf Ln, Suite 12, Charlottesville, VA 22903-9203 | 2006-03-10 |
| 1437587698 | Dynamic Dental Health Associates of Virginia, PC | Dentist | 325 Four Leaf Ln, Charlottesville, VA 22903-9203 | 2013-10-28 |
| 1518308824 | Nicole Schroeer | Behavioral Analyst | 325 Four Leaf Ln, Suite 11a, Charlottesville, VA 22903-9203 | 2013-07-15 |
| 1487090387 | Linda Doreen Jones-oleson | Speech-Language Pathologist | 325 Four Leaf Ln, Suite 11a, Charlottesville, VA 22903-9203 | 2013-05-17 |
| 1295171171 | Rebecca Plesko-dubois | Psychologist | 325 Four Leaf Ln, Suite 11a, Charlottesville, VA 22903-9203 | 2013-05-17 |
| 1629353818 | Kristine Melson Wells | Social Worker | 325 Four Leaf Ln, #12, Charlottesville, VA 22903-9203 | 2011-10-19 |
| 1992024012 | Elizabeth Mandell Md Plc | Obstetrics & Gynecology | 325 Four Leaf Ln, Suite 11-b, Charlottesville, VA 22903-9203 | 2010-05-28 |
| 1710176912 | Informed Care Solution, Inc | Nurse Practitioner | 325 Four Leaf Ln, Suite 11, Charlottesville, VA 22903-9203 | 2007-10-24 |
| 1497824023 | Elizabeth H. Mandell | Obstetrics & Gynecology | 325 Four Leaf Ln, Charlottesville, VA 22903-9203 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| 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 |
|---|---|---|---|---|
| 1043810062 | Rivanna Counseling LLC | Social Worker | 800 E Jefferson St Ste 101, Charlottesville, VA 22902-5180 | 2020-10-28 |
| 1427664580 | Kimberly Ann Rambow | Social Worker | 2153 Loring Cir, Charlottesville, VA 22901-0668 | 2020-09-23 |
| 1023639895 | Jesse Dice | Social Worker | 1375 Amber Ridge Rd, Charlottesville, VA 22901-9544 | 2020-05-02 |
| 1982224820 | Morgan Soper | Social Worker | 408 E Market St Ste 208b, Charlottesville, VA 22902-5252 | 2020-04-21 |
| 1457991457 | Cindy Lerner-nestler | Social Worker | 3264 Martin Kings Rd, Charlottesville, VA 22902-7943 | 2020-01-08 |
| 1952964462 | Hannah Robinson | Social Worker | 3 Boars Head Ln Ste C6, Charlottesville, VA 22903-4604 | 2019-04-19 |
| 1710475504 | Veronica M Yockey | Social Worker | 2340 Commonwealth Dr Ste 100, Charlottesville, VA 22901-1634 | 2018-04-26 |
| 1386147288 | Jenna Ramsdell | Social Worker | 335 Greenbrier Dr Ste 206, Charlottesville, VA 22901-1695 | 2018-03-16 |
| 1952804445 | Joseph P Usher | Social Worker | 500 Old Lynchburg Rd Apt 310, Charlottesville, VA 22903-6554 | 2018-03-12 |
| 1841791084 | Hilary Jerrill Steinitz | Social Worker | 1013 Linden Ave Apt K, Charlottesville, VA 22902-9021 | 2018-02-22 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
Please comment or provide details below to improve the information on SUSANNE WILBUR.
| 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.