MRS. JESSICA RUTH WIZMAN (NPI# 1669683538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669683538 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA RUTH WIZMAN |
| Credential | LCSW |
| Practice Address |
509 Olde Waterford Way Leland NC 28451-4125 |
| Mailing Address |
246 Haywood Ct Leland NC 28451-9332 |
| Practice Telephone | 9106324848 |
| Mailing Telephone | 9106326670 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2010-10-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C005634 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6106687 | 05 |
| Street Address |
509 OLDE WATERFORD WAY |
| City | LELAND |
| State | NC |
| Zip Code | 28451-4125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730129412 | Carolina Healthcare Products, Inc | Durable Medical Equipment & Medical Supplies | 509 Olde Waterford Way, Suite 107, Leland, NC 28451 | 2006-06-08 |
| 1851835003 | Novant Medical Group, Inc. | Surgery | 509 Olde Waterford Way, Suite 204, Leland, NC 28451-4125 | 2016-12-07 |
| 1083061576 | Emergeortho, Pa | Orthopaedic Surgery | 509 Olde Waterford Way, Suite 103, Leland, NC 28451-4125 | 2016-05-16 |
| 1366815318 | Rizzo Enterprises, Inc. | Chiropractor | 509 Olde Waterford Way, Suite 201, Leland, NC 28451-4125 | 2015-11-12 |
| 1255704292 | Pruitthealth Home Health, Inc. | Home Health | 509 Olde Waterford Way, Suite 205, Leland, NC 28451-4125 | 2015-11-12 |
| 1972990877 | The Carter Clinic, Pa | Psychiatry & Neurology | 509 Olde Waterford Way, Suite 305, Leland, NC 28451-4125 | 2015-04-20 |
| 1275926008 | Sea Hope Education & Wellness Centers Inc | Community/Behavioral Health | 509 Olde Waterford Way, Suite 305, Leland, NC 28451-4125 | 2015-03-18 |
| 1255724571 | Novant Medical Group Inc | Family Medicine | 509 Olde Waterford Way, Suite 200, Leland, NC 28451-4126 | 2015-03-11 |
| 1003237322 | Autumn Lynn Woods | Physical Therapist | 509 Olde Waterford Way, Suite 103, Leland, NC 28451-4125 | 2014-01-05 |
| 1215271119 | Orthowilmington, Pa | Durable Medical Equipment & Medical Supplies | 509 Olde Waterford Way, Suite 103, Leland, NC 28451-4125 | 2012-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811427156 | Town of Leland | Ambulance | 1004 Village Rd, Leland, NC 28451 | 2017-06-19 |
| 1205389517 | Total Renal Care of North Carolina LLC | Clinic/Center | 1220 Magnolia Village Way, Leland, NC 28451 | 2016-08-03 |
| 1043696800 | William Sanders Sr. | Respite Care | 3043 Ramble Dr, Leland, NC 28451 | 2015-08-04 |
| 1457730707 | Devinn L Geeson | Dentist | 1215 Westgate Drive, Suite 180, Leland, NC 28451 | 2015-05-20 |
| 1740611706 | Mark C. Austin Omfs, Pllc | Oral & Maxillofacial Surgery | 2001 South Baxter Drive, Leland, NC 28451 | 2013-12-02 |
| 1750711123 | Donna Rose Hodnicki | Nurse Practitioner | 1132 East Cutler Crossing, Leland, NC 28451 | 2013-11-20 |
| 1992137996 | Abbey Jones Mcclanahan | Physical Therapist | 1003 Olde Waterford Way # B, Leland, NC 28451 | 2013-08-01 |
| 1306010780 | Walter B. Futch, Jr. Dds Pa | Dentist | 1006 Northgate Drive, Leland, NC 28451 | 2008-04-17 |
| 1639357429 | Sbh- Wilmington, LLC | Psychiatric Hospital | 2050 Mercantile Drive, Leland, NC 28451 | 2008-02-05 |
| 1396930137 | F.a.c. Group Homes, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 9485 Huckabee Ct, Leland, NC 28451 | 2007-09-13 |
| Find all providers in zip 28451 | ||||
| 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 |
|---|---|---|---|---|
| 1881227080 | Leana Subrena Hall | Social Worker | 4232 M Hall Ln Ne, Leland, NC 28451-7976 | 2020-02-16 |
| 1790329423 | Jennifer Wester Griffin | Social Worker | 1116 Amber Pines Dr, Leland, NC 28451-9240 | 2019-11-06 |
| 1770040701 | Jennifer Mary Palecek | Social Worker | 2038 Forest View Cir, Leland, NC 28451-2006 | 2019-02-26 |
| 1821484114 | Amanda Smith | Social Worker | 1424 Forest Hill Dr, Leland, NC 28451-9273 | 2015-04-13 |
| 1336196781 | Cindy L Chu | Social Worker | 1107 New Pointe Blvd., Suite 16, Leland, NC 28451-4128 | 2006-05-30 |
| 1871839431 | Heather Piedra Hughes | Social Worker | 2050 Mercantile Dr, Leland, NC 28451-4053 | 2012-12-28 |
| 1063762078 | Kathy Painter Johnson | Social Worker | 10241 Blackwell Rd Se, Leland, NC 28451-8515 | 2012-09-17 |
| 1346505898 | Robert Schorr | Social Worker | 1107 New Pointe Blvd, Suite 16, Leland, NC 28451-4128 | 2012-07-11 |
| 1063775385 | North Brunswick Counseling & Psychological Associates Pllc | Social Worker | 1107 New Pointe Blvd, Suite 16, Leland, NC 28451-4128 | 2012-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881887 | Lillian Jean Goodkind | Social Worker | 68 N French Broad Ave, Asheville, NC 28801-2600 | 2020-11-05 |
| 1770184657 | Delia Hearon | Social Worker | 100 Village Circle Way Apt 216, Durham, NC 27713-6131 | 2020-11-05 |
| 1346841459 | Mickaella Ann Moser | Social Worker | 3030 Adams Blvd Apt 13, Greenville, NC 27858-4840 | 2020-11-04 |
| 1750981346 | Tarsha M. Hall | Social Worker | 645 Spruce Garden Ct, Rural Hall, NC 27045-9159 | 2020-11-01 |
| 1184224727 | Kwanza Suzanne Winn | Social Worker | 2510 Hope Way Ln Apt 202, Charlotte, NC 28262-6955 | 2020-10-30 |
| 1164022570 | Directional Care Community Services LLC. | Social Worker | 6220 Sid Crane Dr, Charlotte, NC 28216-7684 | 2020-10-27 |
| 1295335602 | Macie Whitlow | Social Worker | 1825 W City Dr Ste A&b, Elizabeth City, NC 27909-9675 | 2020-10-27 |
| 1689274011 | Ashleigh Weckesser | Social Worker | 216 Reams Dr, Middlesex, NC 27557-8650 | 2020-10-26 |
| 1750980256 | Victoria Snow | Social Worker | 504 E Pettigrew St Apt 449, Durham, NC 27701-3888 | 2020-10-26 |
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. JESSICA RUTH WIZMAN.
| 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.