DR. WAKEELAH TAMIKKA GILMORE (NPI# 1992041974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992041974 |
| Entity Type | Individual |
| Full Name | DR. WAKEELAH TAMIKKA GILMORE |
| Credential | LCSWA/EDD |
| Practice Address |
86 Three Hunts Drive Pembroke NC 28372 |
| Mailing Address |
28741 Aberdeen Rd Marston NC 28363-8421 |
| Practice Telephone | 9105221462 |
| Mailing Telephone | 9102069183 |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2018-02-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P012154 | NC | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
P006718 | NC | Behavioral Health & Social Service Providers |
| Street Address |
86 THREE HUNTS DRIVE |
| City | PEMBROKE |
| State | NC |
| Zip Code | 28372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679824569 | Avis C Johnson | Counselor | 86 Three Hunts Drive, Suite 86, Pembroke, NC 28372-8998 | 2012-10-02 |
| 1447865365 | Alhaji Keith | Social Worker | 86 Three Hunts Drive, Pembroke, NC 28372-2837 | 2020-09-09 |
| 1578188215 | Dora Lena Jacobs | Counselor | 86 Three Hunts Drive, Pembroke, NC 28372 | 2020-06-09 |
| 1275155483 | Danielle Sawyer | Social Worker | 86 Three Hunts Drive, Pembroke, NC 28372 | 2020-05-11 |
| 1811558661 | Sabrina L Spaulding | Counselor | 86 Three Hunts Drive, Pembroke, NC 28372 | 2019-06-24 |
| 1356850853 | Brittany Nicole Locklear | Social Worker | 86 Three Hunts Drive, Pembroke, NC 28372 | 2017-09-27 |
| 1457898207 | Amy Melinda Emanuel | Counselor | 86 Three Hunts Drive, Pembroke, NC 28372 | 2017-01-31 |
| 1467909960 | Annette Locklear | Counselor | 86 Three Hunts Drive, Pembroke, NC 28372 | 2016-09-01 |
| 1033455191 | Deneda T Daye | Nurse Practitioner | 86 Three Hunts Drive, Pembroke, NC 28372-8998 | 2012-12-18 |
| 1104069731 | Continuum Care Services, Inc. | Clinic/Center | 86 Three Hunts Drive, Suite 86, Pembroke, NC 28372 | 2009-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962977 | Kayla J Oxendine | Counselor | 86 Threehunts Drive, Pembroke, NC 28372 | 2020-11-03 |
| 1720688401 | Melissa Claire Kratz | Pharmacist | 930 Hwy 711 East, Pembroke, NC 28372 | 2020-10-30 |
| 1841775681 | Nikki Locklear | Counselor | 86 Three Hunts Dr., Pembroke, NC 28372 | 2018-09-27 |
| 1043703218 | Julie Anne Harrison-swartz | Nurse Practitioner | Uncp Student Health, 113 Hawk Drive, Pembroke, NC 28372 | 2018-06-12 |
| 1134627508 | William Dixon | Specialist/Technologist | One University Drive, Pembroke, NC 28372 | 2018-01-31 |
| 1740796291 | A Primary Choice, Inc. | In Home Supportive Care | 208 Union Chapel Road, Suite D, Pembroke, NC 28372 | 2017-12-20 |
| 1578924130 | William Joshua Johnson | Nurse Practitioner | 3334 Moss Neck Road, Pembroke, NC 28372 | 2016-03-10 |
| 1831560234 | Sungjun Jung | Pharmacist | 930 Nc Hwy 711 E, Pembroke, NC 28372 | 2015-10-12 |
| 1154715027 | Lilly Marie Shorter | Counselor | 86 Three Hunt Drive, Pembroke, NC 28372 | 2015-03-27 |
| 1487046728 | Eye Heart You Home Health, LLC | Public Health or Welfare | 925 University Road, Pembroke, NC 28372 | 2015-02-24 |
| Find all providers in zip 28372 | ||||
| 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 |
|---|---|---|---|---|
| 1790034593 | Mara D Hunt | Social Worker | 60 Commerce Plaza Cir, Pembroke, NC 28372-7386 | 2012-09-07 |
| 1770855389 | Ryan Shirilla | Social Worker | 447 Deerpath Ln, Pembroke, NH 03275-3214 | 2012-01-30 |
| 1558659680 | Rachel S Cohen | Social Worker | 20 Winter Street, Pembroke, MA 02359 | 2011-07-11 |
| 1083866628 | Stacey Tywanna Hailey | Social Worker | 139 Three Hunts Dr, Pembroke, NC 28372-6800 | 2008-10-15 |
| 1790949907 | Tammy Rocha Cetrino | Social Worker | 125 Church St Ste 90-104, Pembroke, MA 02359-1929 | 2008-07-16 |
| 1275717084 | Elizabeth Zaccardi | Social Worker | 34 Mill St, Pembroke, MA 02359-3201 | 2007-12-28 |
| 1972710861 | Susan Michelle Wilson | Social Worker | 24 Champion Way, Pembroke, MA 02359-2637 | 2007-05-17 |
| 1871705939 | Recovery and Growth Counseling | Social Worker | 2 Columbia Road, Pembroke, MA 02360 | 2007-05-03 |
| 1912128463 | Mary A Marek | Social Worker | 2 Columibia Road, Pembroke, MA 02359 | 2007-05-01 |
| 1265577258 | Nicole Marie Macdonald | Social Worker | 122 Chapel St, Pembroke, MA 02359-3815 | 2007-02-20 |
| Find all providers in PEMBROKE | ||||
Please comment or provide details below to improve the information on DR. WAKEELAH TAMIKKA GILMORE.
| 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.