MS. RENITA WILSON (NPI# 1699926170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699926170 |
| Entity Type | Individual |
| Full Name | MS. RENITA WILSON |
| Credential | LICSW |
| Practice Address |
2356 University Ave W Suite 220 Saint Paul MN 55114-1853 |
| Practice Telephone | 6516590460 |
| Practice Fax Number | 6516445306 |
| Mailing Telephone | 6516590460 |
| Mailing Fax Number | 6516445306 |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
15681 | MN | Behavioral Health & Social Service Providers |
| Street Address |
2356 UNIVERSITY AVE W SUITE 220 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55114-1853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922053040 | Stacey T. Broecker | Optometrist | 2356 University Ave W, Saint Paul, MN 55114-1897 | 2006-05-24 |
| 1861884579 | The Wayside House, Inc. | Community/Behavioral Health | 2356 University Ave W, Suite 210, Saint Paul, MN 55114-1853 | 2015-03-04 |
| 1942625413 | Axis Healthcare | Case Management | 2356 University Ave W, Suite 210, Saint Paul, MN 55114-1853 | 2014-02-20 |
| 1053679381 | Lois Foehringer | Registered Nurse | 2356 University Ave W, Suite 210, Saint Paul, MN 55114-1853 | 2012-04-24 |
| 1033367057 | The African American Adoption Agency | Community/Behavioral Health | 2356 University Ave W, Suite 220, Saint Paul, MN 55114-1853 | 2008-09-03 |
| 1326215153 | Axis Healthcare | Case Management | 2356 University Ave W, Saint Paul, MN 55114-1853 | 2008-05-12 |
| 1144439134 | Judith Ann Tauer | Nurse Practitioner | 2356 University Ave W, Suite 210, Saint Paul, MN 55114-1853 | 2007-05-22 |
| 1770656845 | Kristin R. Swenson | Optometrist | 2356 University Ave W, Saint Paul, MN 55114-1853 | 2006-11-16 |
| 1114962529 | Broecker Eye & Optical | Optometrist | 2356 University Ave W, Suite 260, Saint Paul, MN 55114-1853 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790205698 | Der Yang | Registered Nurse | 2356 University Ave W #220, Saint Paul, MN 55114 | 2017-06-21 |
| 1679949358 | Mallory Haglund | Counselor | 284 West Rocky Lane, Boulder, NV 55114 | 2015-08-17 |
| 1083090880 | Kayla Estenson | Marriage & Family Therapist | 2324 University Ave West, 120, St. Paul, MN 55114 | 2015-08-04 |
| 1184023772 | Preetanjali Thakur | Dentist | 2550 University Avenue West Suite 189s, St Paul, MN 55114 | 2014-08-19 |
| 1023426210 | Melanie Bayer Witthoft | Social Worker | 762 Transfer Road, 21, St. Paul, MN 55114 | 2014-07-31 |
| 1184046518 | Britni Kelley | Marriage & Family Therapist | 821 Raymond Ave Ste 325, Saint Paul, MN 55114 | 2014-01-21 |
| 1205257581 | Arti Kaul | Dentist | 808 Berry St, Apy 126, St Paul, MN 55114 | 2014-01-03 |
| 1588907109 | Jesus M Calvillo | Counselor | 821 Raymond Ave Ste 230, Saint Paul, MN 55114 | 2013-04-02 |
| 1154669414 | Caringhands Home Health Care Inc. | Home Health | 2233 University Ave West, Suite 330, St Paul, MN 55114 | 2013-01-22 |
| 1396021424 | The Avalon Charter School | Local Education Agency (LEA) | 700 Glendale Street, Saint Paul, MN 55114 | 2011-11-03 |
| Find all providers in zip 55114 | ||||
| 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 |
|---|---|---|---|---|
| 1912506858 | Rachael Girard Ryan | Social Worker | 1440 Alaska Ave, Saint Paul, MN 55116-2338 | 2020-10-21 |
| 1205443249 | Jesse Cramer LLC | Social Worker | 428 Minnesota St # 500, Saint Paul, MN 55101-2666 | 2020-09-24 |
| 1992345359 | Shannon Marie Lowe | Social Worker | 435 Dorothy Day Pl, Saint Paul, MN 55102-1002 | 2020-01-13 |
| 1588208110 | Ronika Darlene Stibbins | Social Worker | 475 Cleveland Ave N Ste 305&316, Saint Paul, MN 55104-5031 | 2019-11-06 |
| 1396399002 | Shauna Jolene Wiest | Social Worker | 311 Ramsey St Ste 105, Saint Paul, MN 55102-2323 | 2019-07-31 |
| 1336709575 | Storycloth Wellness, LLC | Social Worker | 800 Minnehaha Ave E Ste 330, Saint Paul, MN 55106-4437 | 2019-06-19 |
| 1790344125 | Rebecca Ann Stewart | Social Worker | 605 Ottawa Ave, Saint Paul, MN 55107-2551 | 2019-06-10 |
| 1386202091 | Journeys: A Pathway /to Healing, LLC | Social Worker | 625 Snelling Ave N # 5, Saint Paul, MN 55104-2878 | 2019-05-29 |
| 1174189591 | Kaitlin Voight-fitzpatrick | Social Worker | 438 Dorothy Day Pl, Saint Paul, MN 55102-1081 | 2019-05-10 |
| 1861955908 | Patricia Hendren | Social Worker | 1000 University Ave W, Saint Paul, MN 55104-4746 | 2019-04-06 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55114 |
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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.