MRS. VIRGINIA LEE WILD (NPI# 1104378686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104378686 |
| Entity Type | Individual |
| Full Name | MRS. VIRGINIA LEE WILD |
| Practice Address |
1085 Maple St Farmington MO 63640-1955 |
| Practice Telephone | 5737565353 |
| Mailing Telephone | 5737565353 |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
1085 MAPLE ST |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730193848 | Jennifer Lynn Beard | Social Worker | 1085 Maple St, Farmington, MO 63640-1955 | 2006-07-27 |
| 1710585716 | Sheri Lynn Ketcherside | Specialist | 1085 Maple St, Farmington, MO 63640-1955 | 2020-10-12 |
| 1821603887 | Ronni Kay Dubois | Social Worker | 1085 Maple St, Farmington, MO 63640-1955 | 2020-09-15 |
| 1306451372 | Melissa Gail Parson | Social Worker | 1085 Maple St, Farmington, MO 63640-1955 | 2020-09-15 |
| 1043825912 | Kayla Luber | Behavior Technician | 1085 Maple St, Farmington, MO 63640-1955 | 2020-09-08 |
| 1912521030 | Adam Feltes | Behavioral Analyst | 1085 Maple St, Farmington, MO 63640-1955 | 2020-06-04 |
| 1841824125 | Benjamin Carl Wilson | Case Manager/Care Coordinator | 1085 Maple St, Farmington, MO 63640-1955 | 2020-02-26 |
| 1285268482 | Jockese Martin | Social Worker | 1085 Maple St, Farmington, MO 63640-1955 | 2020-02-26 |
| 1528607991 | Felecia Elders | Technician, Other | 1085 Maple St, Farmington, MO 63640-1955 | 2020-01-02 |
| 1033758404 | Jeannie Bray | Technician, Other | 1085 Maple St, Farmington, MO 63640-1955 | 2020-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| 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 |
|---|---|---|---|---|
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1346712031 | Cathleen Julia Nowak | Social Worker | 10 Trotters Gln, Farmington, CT 06032-2748 | 2018-12-19 |
| 1225481732 | Rebekah Jo Ann Metz | Social Worker | 657 Walton Dr, Farmington, MO 63640-1935 | 2016-07-20 |
| 1306229364 | Christina Spies | Social Worker | 1565 St Genevieve Ave, Farmington, MO 63640-3454 | 2015-07-08 |
| 1023402641 | George Otu-appiah | Social Worker | 306 Colt Hwy, Farmington, CT 06032-3076 | 2015-03-20 |
| 1841680295 | Jennifer R. Hale | Social Worker | 1500 W. Columbia St., Farmington, MO 63640 | 2015-01-23 |
| 1871992230 | Rikka C. Bonnette | Social Worker | Pms Fchc 1001 W Broadway, Farmington, NM 87401-5638 | 2014-08-21 |
| 1144655010 | Catherine Scoville | Social Worker | 14 Rocky Ridge Ln, Farmington, CT 06032-2712 | 2013-09-10 |
| 1104184019 | Eva Jean Morales | Social Worker | 200 Summit Dr, Farmington, NM 87401-3410 | 2012-04-27 |
| 1306124425 | Pamela J Wright | Social Worker | 406 Airport Dr, Farmington, NM 87401-5518 | 2011-07-22 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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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.