MRS. JILL ANNE RUBIN WISHART (NPI# 1073617759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073617759 |
| Entity Type | Individual |
| Full Name | MRS. JILL ANNE RUBIN WISHART |
| Credential | LCSW DCSW |
| Practice Address |
26 Midway St Bristol Regional Counseling Center Bristol TN 37620 |
| Mailing Address |
Po Box 9054 Gray TN 37615-9054 |
| Practice Telephone | 4239894500 |
| Practice Fax Number | 4239894582 |
| Mailing Telephone | 4234673600 |
| Mailing Fax Number | 4234673696 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 0904003737 | VA | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | LSW0000003204 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VALUEOPTIONS GROUP | 334969 | 01 | |
| UBH HEALTHPLAN | 39725 | 01 | |
| UBH JOHN DEERE | 39725 | 01 | |
| MAGELLAN EAP | 3048466 | 01 | |
| MAGELLAN NAVIGATOR | 3048466 | 01 | |
| UBH EMPLOYER | 39725 | 01 | |
| VALUEOPTIONS | 099634 | 01 | |
| ANTHEM PROF TRIGON | 253893 | 01 | |
| MAGELLAN PINNACLE | 3048466 | 01 | |
| CIGNA MCC | 1051419 | 01 | |
| MAGELLAN SUMMIT | 3048466 | 01 | |
| ANTHEM PREF TRIGON | 253893 | 01 | |
| UBH SENIOR | 39725 | 01 |
| Street Address |
26 MIDWAY ST BRISTOL REGIONAL COUNSELING CENTER |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235125162 | Cathy M Gowan | Nurse Practitioner | 26 Midway St, Bristol, TN 37620-1706 | 2005-09-26 |
| 1588279129 | Teresa A Fleming | Counselor | 26 Midway St, Bristol, TN 37620-1706 | 2020-09-10 |
| 1467003210 | Maranda D. Conner | Counselor | 26 Midway St, Bristol, TN 37620-1706 | 2019-09-24 |
| 1346746120 | Carlyn Marie Conley | Case Manager/Care Coordinator | 26 Midway St, Bristol, TN 37620-1706 | 2018-04-02 |
| 1851895510 | Rhonda Noelle Grimes | Counselor | 26 Midway St, Bristol, TN 37620-1706 | 2018-03-19 |
| 1780066241 | Melinda Cox | Licensed Practical Nurse | 26 Midway St, Bristol, TN 37620-1706 | 2015-06-22 |
| 1831501097 | Tracy Boling | Counselor | 26 Midway St, Bristol, TN 37620 | 2014-05-22 |
| 1134557010 | Karen Davidson | Licensed Practical Nurse | 26 Midway St, Bristol, TN 37620-1706 | 2013-10-31 |
| 1053744607 | Kimberly Knight | Case Manager/Care Coordinator | 26 Midway St, Bristol, TN 37620-1706 | 2013-08-19 |
| 1366874901 | Jonathan David Hunt | Case Manager/Care Coordinator | 26 Midway St, Bristol, TN 37620-1706 | 2013-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440120 | Lavonne Womack | Social Worker | 1325 Farmington Ave Apt 12, Bristol, CT 06010-4774 | 2020-09-08 |
| 1235658147 | Leah Elizabeth Cohen | Social Worker | 100 Green Ln Ste 2, Bristol, PA 19007 | 2017-09-12 |
| 1316075468 | Sharon Kay Good | Social Worker | 498 Industrial Drive, Bristol, TN 37620 | 2007-03-01 |
| 1538218805 | Kelly Anne Mangiafico | Social Worker | 1098 Farmington Ave, Bristol, CT 06010-4705 | 2007-01-09 |
| 1477565596 | Freida A Crutchfield | Social Worker | 26 Midway, Bristol Regional Counseling Ctr, Bristol, TN 37620 | 2006-08-13 |
| 1649221011 | Twin Oaks Juvenile Development, Inc | Social Worker | 11939 Nw State Road 20, Bristol, FL 32321-3416 | 2006-05-12 |
| 1285619346 | Patricia Logan Richard | Social Worker | 440 D N Main St, Bristol, CT 06010 | 2005-12-13 |
| 1295334241 | Tracey Marie Aittama | Social Worker | 10611 Nw State Road 20, Bristol, FL 32321-3441 | 2020-10-21 |
| 1144828856 | Joshua Zinz Ginsburg | Social Worker | 10611 Florida Highway 20, Bristol, FL 32321 | 2020-10-14 |
| 1124638481 | Shannon Rebecca Walsh | Social Worker | 10 N Main St, Bristol, CT 06010-8122 | 2020-08-03 |
| Find all providers in BRISTOL | ||||
Please comment or provide details below to improve the information on MRS. JILL ANNE RUBIN WISHART.
| 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.