MRS. THERESA C WILSON


Address: 900 Dudley Ave, Cherry Hill, NJ 08002-4426
Phone: 8565411700

MRS. THERESA C WILSON (NPI# 1821205444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821205444
Entity Type Individual
Full Name MRS. THERESA C WILSON
Credential LCSW
Practice Address 900 Dudley Ave
Cherry Hill
NJ 08002-4426
Practice Telephone 8565411700
Practice Fax Number 8564885530
Mailing Telephone 8565411700
Mailing Fax Number 8564885530
Enumeration Date 2007-05-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
44SC00000700 NJ Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ SOCIAL WORK LICENSE 44SC00000700 01

Other Providers THERESA WILSON

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1194965244 Theresa Wilson Speech-Language Pathologist 9 Ira Ct, Brooklyn, NY 11229-5985 2009-03-03
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1780234948 Theresa Marie Wilson Case Manager/Care Coordinator 11512 B Ave, Auburn, CA 95603-2605 2019-09-18
1811479264 Theresa Lynn Wilson Occupational Therapist 508 W Trilby Rd, Fort Collins, CO 80526 2018-09-02
1073001806 Theresa Lee Wilson Counselor 3705 Avenue A, Lubbock, TX 79404-2439 2018-04-26

Office Location

Street Address 900 DUDLEY AVE
City CHERRY HILL
State NJ
Zip Code 08002-4426

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669735239 Kimberly Miller Counselor 900 Dudley Ave, Cherry Hill, NJ 08002-4426 2012-06-19
1245596709 Michelle A Newkirk Licensed Practical Nurse 900 Dudley Ave, Cherry Hill, NJ 08002-4426 2012-04-09
1427339266 Donna Woodhull Registered Nurse 900 Dudley Ave, Cherry Hill, NJ 08002-4426 2011-09-07
1740568310 Kathleen Nuzzie Licensed Practical Nurse 900 Dudley Ave, Cherry Hill, NJ 08002-4426 2011-07-29
1669776332 Tamika A Gibson Registered Nurse 900 Dudley Ave, Cherry Hill, NJ 08005 2011-01-10
1093959009 Charlene Smith Babin Licensed Practical Nurse 900 Dudley Ave, Cherry Hill, NJ 08002-4426 2009-04-22
1205070208 Tyshall Shamick Jackson Registered Nurse 900 Dudley Ave, Cherry Hill, NJ 08002-4426 2009-04-22
1568648327 Barbara Curtis Counselor 900 Dudley Ave, Cherry Hill, NJ 08002-4426 2008-01-11
1205012069 Dena Michelle Smolar Counselor 900 Dudley Ave, Cherry Hill, NJ 08002-4426 2008-01-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649878547 Rachel J Crutchley Behavioral Analyst 923 Haddonfield Road Suite 300, Cherry Hill, NJ 08002 2020-10-13
1356954713 Costco Wholesale Corporation Eyewear Supplier (Equipment, not the service) 650 Garden Park Blvd, Cherry Hill, NJ 08002 2020-08-26
1104483825 Advocare, LLC Specialist 600 West Marlton Pike, Suite C, Cherry Hill, NJ 08002 2019-05-29
1881155299 Tyesha Thomas Counselor 57 Colwick Drive, Suite 120, Cherry Hill, NJ 08002 2019-03-28
1982184479 Brian Keith Smalls Jr. Early Intervention Provider Agency 1701 Bishop View Circle, Cherry Hill, NJ 08002 2018-08-15
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1871010397 Jocelyn Lea Daigle Counselor 2201 Chapel Avenue W, Cherry Hill, NJ 08002 2017-08-25
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1245750926 Casey Rich Behavioral Analyst 923 Haddonfield Rd Ste 300, Cherry Hill, NJ 08002 2017-06-22
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1194282558 David Michael Martino Jr. Social Worker 1930 Marlton Pike E Bldg 7, Cherry Hill, NJ 08003-2150 2019-02-21
1124596648 Michael Aitcheson Social Worker 206 S Brookfield Rd, Cherry Hill, NJ 08034-3745 2018-11-02
1437637626 Rachel Johnson Social Worker 1030 Kings Hwy N Ste 202, Cherry Hill, NJ 08034-1907 2018-07-31
1780160507 Kim Harrison Zaun Social Worker 1016 Salem Rd, Cherry Hill, NJ 08034-3656 2018-07-15
1356831044 Mirel Adler Social Worker 327 Cherry Hill Blvd, Cherry Hill, NJ 08002-1908 2018-05-17
1689182974 Guided Paths LLC Social Worker 727 Cobble Creek Cir, Cherry Hill, NJ 08003-1843 2018-01-20
1003327958 Spring Behavioral Health of New Jersey Social Worker 409 Route 70 E Ste 2, Cherry Hill, NJ 08034-2413 2017-10-18
1477064608 Morra Molotsky Social Worker 1218 Chanticleer, Cherry Hill, NJ 08003-4815 2017-10-16
1962946178 Rod J. Herrera, Lcsw, LLC Social Worker 36 Kresson Rd Ste D, Cherry Hill, NJ 08034-3227 2016-12-06
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Competitor

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City CHERRY HILL
Zip Code 08002

Improve Information

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Dataset Information

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.

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