MRS. JACQUILINE M WILSON (NPI# 1952611170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952611170 |
| Entity Type | Individual |
| Full Name | MRS. JACQUILINE M WILSON |
| Credential | L.L.M.S.W. |
| Practice Address |
1217 S Euclid Ave Bay City MI 48706-3311 |
| Practice Telephone | 9896679661 |
| Mailing Telephone | 9896679661 |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801091131 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MASTER'S SOCIAL WORKER LIMITED LICENSE | 6801091131 | 01 |
| Street Address |
1217 S EUCLID AVE |
| City | BAY CITY |
| State | MI |
| Zip Code | 48706-3311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790703502 | Mpa Group Ltd | Counselor | 1217 S Euclid Ave, Bay City, MI 48706 | 2006-07-18 |
| 1205440732 | Tonya Cece | Social Worker | 1217 S Euclid Ave, Bay City, MI 48706-3311 | 2020-09-02 |
| 1336759851 | Teresa A Switala | Social Worker | 1217 S Euclid Ave, Bay City, MI 48706-3311 | 2020-08-10 |
| 1346850872 | Alexandria Leigh Karas | Social Worker | 1217 S Euclid Ave, Bay City, MI 48706-3311 | 2020-08-10 |
| 1871117317 | Cadi Palmreuter | Social Worker | 1217 S Euclid Ave, Bay City, MI 48706-3311 | 2020-06-01 |
| 1255955704 | Morgan Gray | Social Worker | 1217 S Euclid Ave, Bay City, MI 48706-3311 | 2020-06-01 |
| 1477199784 | Eden Louise Airbets | Social Worker | 1217 S Euclid Ave, Bay City, MI 48706-3311 | 2019-11-21 |
| 1962052472 | Heather Lee De La Vara | Social Worker | 1217 S Euclid Ave, Bay City, MI 48706-3311 | 2019-09-17 |
| 1649820572 | Amy Lynn Knapp | Social Worker | 1217 S Euclid Ave, Bay City, MI 48706-3311 | 2019-09-12 |
| 1427607548 | Alexes Louise Booth | Social Worker | 1217 S Euclid Ave, Bay City, MI 48706-3311 | 2019-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574357 | Kalie Keyes | Behavior Technician | 3710 Katalin Ct, Bay City, MI 48706 | 2020-10-06 |
| 1790251049 | Leann Marie Miller | Nurse Practitioner | Visiting Physicians Association, 1484 Straits Drive, Bay City, MI 48706 | 2018-10-15 |
| 1659883676 | Matthew Zamora | Internal Medicine | 4818 S Professional Dr, Bay City, MI 48706 | 2017-10-31 |
| 1376082230 | Deidre Dotson | Social Worker | 1217 S Euclid, Bay City, MI 48706 | 2017-02-13 |
| 1790100717 | Kochar Plc | Internal Medicine | 4817 E. Professional Drive, Bay City, MI 48706 | 2014-02-27 |
| 1992136477 | Janelle Gale Ballard | Music Therapist | 4106 Wilder Rd, Bay City, MI 48706 | 2013-12-09 |
| 1619319084 | Jessica T Jang | Veterinarian | 6015 West Side Saginaw Rd, Bay City, MI 48706 | 2013-07-25 |
| 1427493634 | Cynthia Marie Bordeau | Social Worker | 1217 S. Euclid, Bay City, MI 48706 | 2013-05-01 |
| 1902162746 | Delta Family Clinic South PC | Psychologist | 901 N. Euclid Ave., Bay City, MI 48706 | 2012-04-05 |
| 1669762985 | James Norbert Stachowski | Pharmacist | 3880 Wilder, Bay City, MI 48706 | 2011-04-08 |
| Find all providers in zip 48706 | ||||
| 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 |
|---|---|---|---|---|
| 1184116519 | Patricia Nancy Edwards | Social Worker | 4106 Wilder Road Ste 337, Bay City, MI 48706-2239 | 2018-06-01 |
| 1336639228 | Mary Elaine Gilbert | Social Worker | 909 Washington Ave Ste 3, Bay City, MI 48708-5722 | 2018-05-16 |
| 1447700455 | Robin Reid | Social Worker | 4106 Wilder Rd Ste 175, Bay City, MI 48706-2239 | 2016-10-13 |
| 1205383569 | Jennifer Iglehart | Social Worker | 720 12th St, Bay City, TX 77414-2904 | 2016-09-04 |
| 1235581455 | Julayne Richmond | Social Worker | 909 Washington Ave, Suite 3, Bay City, MI 48708-5722 | 2016-07-12 |
| 1154713972 | Kevin Griffith | Social Worker | 1400 S Lincoln St, Bay City, MI 48708-8103 | 2015-03-03 |
| 1043626344 | Lorraine Haley | Social Worker | 1308 Columbus Ave, Ste 102, Bay City, MI 48708-6671 | 2014-07-08 |
| 1205249612 | Catherine Filary | Social Worker | 1008 19th St, Bay City, MI 48708-7348 | 2014-06-04 |
| 1083032973 | Roger Pickering | Social Worker | 5635 W Spring Knoll Dr, Bay City, MI 48706-5615 | 2014-03-28 |
| 1962833939 | Jodi Histed | Social Worker | 916 Washington Ave Ste 223, Bay City, MI 48708-5721 | 2013-12-02 |
| Find all providers in BAY CITY | ||||
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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.