ROBERT LEE WILDER JR. (NPI# 1770135519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770135519 |
| Entity Type | Individual |
| Full Name | ROBERT LEE WILDER JR. |
| Credential | LCSW-A |
| Practice Address |
200 Tarpon Trl Jacksonville NC 28546-5287 |
| Practice Telephone | 9109381114 |
| Practice Fax Number | 9109381118 |
| Mailing Telephone | 9109381114 |
| Mailing Fax Number | 9109381118 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P0134665 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477622017 | Robert P. Wilder | Physical Medicine & Rehabilitation | 545 Ray C. Hunt Dr, Ste 310, Charlottesville, VA 22903-0001 | 2006-11-07 |
| 1619062577 | Robert Stephen Wilder | Chiropractor | 329 East Jericho Turnpike, Smithtown, NY 11787 | 2006-10-04 |
| 1710999537 | Robert Edward Wilder Jr. | Marriage & Family Therapist | 11924 San Jose Blvd, Jacksonville, FL 32223-1840 | 2006-08-12 |
| 1386903813 | Robert L Wilder | Dentist | 1420 Lincoln Way, Suite 200, Coeur D Alene, ID 83814-2390 | 2012-05-03 |
| 1083654198 | Robert Brent Wilder | Emergency Medicine | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2006-06-07 |
| 1033196944 | Robert T Wilder | Anesthesiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-12-30 |
| Street Address |
200 TARPON TRL |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28546-5287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487643151 | Antonio Cusi | Psychiatry & Neurology | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2005-10-17 |
| 1174123541 | Weston Blake Mills | Physician Assistant | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2020-10-27 |
| 1801411707 | Marisa T Nieves | Social Worker | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2020-06-16 |
| 1043854631 | Emily Moreland | Social Worker | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2019-11-06 |
| 1699316026 | Rebecca Sinnett Shepherd | Social Worker | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2019-10-07 |
| 1225686520 | Felix Raphael Rivera | Social Worker | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2019-08-29 |
| 1568018182 | Stephanie J Garcia | Counselor | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2019-08-11 |
| 1235781022 | Ashley Covington-wright | Social Worker | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2019-07-11 |
| 1720640311 | Mary Elizabeth Feinour | Physician Assistant | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2019-07-03 |
| 1558927368 | Lindsay Gonyeau | Social Worker | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2019-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| 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 |
|---|---|---|---|---|
| 1336748193 | Sophia Venditti | Social Worker | 2598 Post St # 1, Jacksonville, FL 32204-4256 | 2020-10-22 |
| 1629676093 | My Journey, LLC | Social Worker | 13453 N Main St Ste 204, Jacksonville, FL 32218-2773 | 2020-10-16 |
| 1104423524 | Sonya Young | Social Worker | 920 Bridier St, Jacksonville, FL 32206-5904 | 2020-10-08 |
| 1043823115 | Sierra Lashonda Murray | Social Worker | 9246 Thunderbolt Dr, Jacksonville, FL 32221-8052 | 2020-08-28 |
| 1235741901 | Deidra Lewis | Social Worker | 4480 Deerwood Lake Pkwy Unit 134, Jacksonville, FL 32216-2255 | 2020-08-23 |
| 1497365456 | Darlene Denise Rolle- Cargill | Social Worker | 14050 Integra Dr Apt 420, Jacksonville, FL 32218-2592 | 2020-08-05 |
| 1689282626 | Andrea Kristin Perkinson | Social Worker | 128 Plow Point Ln, Jacksonville, NC 28546-9591 | 2020-07-15 |
| 1255956371 | Noel Roman | Social Worker | 11775 Carson Lake Dr W, Jacksonville, FL 32221-3812 | 2020-06-15 |
| 1285257535 | Phaith Coaching & Counseling, LLC | Social Worker | 4940 Emerson St, Jacksonville, FL 32207-4963 | 2020-05-21 |
| 1407478613 | Mara's Lighthouse Counseling Center, LLC | Social Worker | 6015 Morrow St E Ste 114, Jacksonville, FL 32217-2125 | 2020-05-11 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28546 |
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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.