GLENNA WILSON (NPI# 1053858050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053858050 |
| Entity Type | Individual |
| Full Name | GLENNA WILSON |
| Other Name | GLENNA JOANN SHAFER |
| Credential | LCSW |
| Practice Address |
2462 Southern Hls Mexico MO 65265 |
| Mailing Address |
2462 Southern Hls Mexico MO 65265-1663 |
| Practice Telephone | 6609091819 |
| Mailing Telephone | 6609091819 |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2018-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2013015048 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1053858050 | 05 |
| Street Address |
2462 SOUTHERN HLS |
| City | MEXICO |
| State | MO |
| Zip Code | 65265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700448685 | Joanna Zidick Mcclarey | Specialist/Technologist | Rehabilitation Services, 711 E Jackson, Mexico, MO 65265 | 2019-07-01 |
| 1457601759 | Bruce Warren Garrett | Dentist | 626 Summit, Mexico, MO 65265 | 2012-09-13 |
| 1063775997 | Brandon Jay Glasgow | Physical Therapist | 2759 A S Clark, Mexico, MO 65265 | 2012-06-15 |
| 1407044548 | Missouri Central Physical Therapy, LLC | Specialist | 2759 A South Clark, Mexico, MO 65265 | 2007-10-12 |
| 1194925628 | Curators of The University of Missouri | Orthopaedic Surgery | 515 East Promenade, Mexico, MO 65265 | 2007-07-23 |
| 1740496199 | Scott Simmons | Family Medicine | 1000 Webster Street, Mexico, MO 65265 | 2007-05-15 |
| 1083741664 | Finck & Associates, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17079 Audrain County Road 929, Mexico, MO 65265 | 2007-02-28 |
| 1417005893 | Matthew Eugene Hart | Emergency Medicine | 620 E Monroe Street, Mexico, MO 65265 | 2007-01-08 |
| 1144392051 | Corrine M Floyd | Massage Therapist | 713 East Jackson, Mexico, MO 65265 | 2006-11-15 |
| 1225123268 | Curators of The University of Missouri | Clinic/Center | 515 E Promenade, Mexico, MO 65265 | 2006-10-04 |
| Find all providers in zip 65265 | ||||
| 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 |
|---|---|---|---|---|
| 1861573602 | Victoria Louise Brown | Social Worker | 767 River Rd, Mexico, ME 04257 | 2006-10-18 |
| 1801893987 | Stephen Smith | Social Worker | 212 W Jackson St, Mexico, MO 65265-2712 | 2005-07-05 |
| 1134125552 | Cynthia Mae Mackey | Social Worker | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2005-06-21 |
| 1154327641 | Virginia J Caputy | Social Worker | 321 W Promenade St, Mexico, MO 65265 | 2005-06-21 |
| 1013559517 | Kristen Ann Fishback | Social Worker | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2019-10-16 |
| 1851853923 | Sandra Ann Willis | Social Worker | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2019-04-05 |
| 1811404973 | Amanda Marie Birkemeier | Social Worker | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2018-01-10 |
| 1750810685 | Andrea Jean Simkins | Social Worker | 340 Kelley Pkwy, Mexico, MO 65265-3811 | 2017-06-05 |
| 1013381276 | Lisa J. Snow, Lcsw, LLC | Social Worker | 116 S Jefferson St, Mexico, MO 65265-2842 | 2015-11-25 |
| 1447633086 | Angela Carter | Social Worker | 340 Kelley Pkwy, Mexico, MO 65265 | 2015-07-01 |
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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.