JESSICA PLOURDE WILSON (NPI# 1104931997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104931997 |
| Entity Type | Individual |
| Full Name | JESSICA PLOURDE WILSON |
| Credential | MSW LCSW |
| Practice Address |
24 Sweden St Caribou ME 04736-2127 |
| Mailing Address |
43 Hatch Dr Po Box 1018 Caribou ME 04736-2161 |
| Practice Telephone | 2074933361 |
| Mailing Telephone | 2074986431 |
| Mailing Fax Number | 2074923181 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2013-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LC8165 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 414770099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467068411 | Jessica Lauren Wilson | Nutritionist | 1925 Brady Ave, Arbutus, MD 21227-4109 | 2020-09-16 |
| 1235754086 | Jessica Vienna Wilson | Massage Therapist | 13 Radnor Ave Fl 2, Croton On Hudson, NY 10520-2621 | 2020-06-08 |
| 1831749654 | Jessica Keely Wilson | Licensed Vocational Nurse | 3356 County Road 313, Dublin, TX 76446-6631 | 2019-09-13 |
| 1629622162 | Jessica Patreece Wilson | Nurse Practitioner | 7303 Brittney Lane, Kenly, NC 27542 | 2019-08-01 |
| 1346808623 | Jessica Wilson | Behavior Technician | 415 N Richard Jackson Blvd Ste 209, Panama City Beach, FL 32407-3694 | 2019-06-03 |
| 1336640820 | Jessica Wilson | Registered Nurse | 25 Connecticut Ave, Midlothian, TX 76065-6747 | 2018-02-21 |
| 1427566934 | Jessica N Wilson | Behavior Technician | 12125 Day St Ste E301, Moreno Valley, CA 92557-6704 | 2018-01-18 |
| 1912447616 | Jessica Wilson | Nurse Practitioner | 740 S Limestone J401, Lexington, KY 40536-0001 | 2017-02-28 |
| 1215387253 | Jessica Evelynne Wilson | Speech-Language Pathologist | 210 Spring Creek Ave Apt A, Bowling Green, KY 42101-5478 | 2016-06-21 |
| 1295101061 | Jessica Elaine Wilson | Marriage & Family Therapist | 983 Norumbega Dr, Monrovia, CA 91016-1826 | 2015-08-17 |
| Street Address |
24 SWEDEN ST |
| City | CARIBOU |
| State | ME |
| Zip Code | 04736-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154342061 | Aroostook Occupational Therapy | Specialist | 24 Sweden St, Caribou, ME 04736-2127 | 2006-07-23 |
| 1285003723 | Merriann Merriman | Counselor | 24 Sweden St, Caribou, ME 04736-2127 | 2015-09-15 |
| 1588040406 | April Flagg | Counselor | 24 Sweden St, Caribou, ME 04736-2127 | 2015-08-03 |
| 1154708048 | Kathleen R Poitras | Counselor | 24 Sweden St, Caribou, ME 04736-2127 | 2015-04-30 |
| 1821497488 | Steve Babin | Counselor | 24 Sweden St, Caribou, ME 04736-2127 | 2014-08-20 |
| 1538579057 | Shanon Hafford | Counselor | 24 Sweden St, Caribou, ME 04736-2127 | 2014-05-06 |
| 1659705598 | Bethany Amanda Phinney | Counselor | 24 Sweden St, Suite 201, Caribou, ME 04736-2127 | 2013-08-28 |
| 1346674124 | Tia D Shaw | Counselor | 24 Sweden St, Suite 201, Caribou, ME 04736-2127 | 2013-08-28 |
| 1518209410 | Linda Bird | Social Worker | 24 Sweden St, Suite 201, Caribou, ME 04736-2127 | 2013-03-19 |
| 1013257039 | Jessica L. Bouley | Counselor | 24 Sweden St, Suite #201, Caribou, ME 04736-2127 | 2013-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073849998 | Eastern Aroostook Regional School | Local Education Agency (LEA) | 75 Glenn St, Caribou, ME 04736 | 2009-10-28 |
| 1992933675 | Philip St. Peter | In Home Supportive Care | 77 Grimes Rd, Caribou, ME 04736 | 2009-07-01 |
| 1063646982 | Cheri Melody Hayes | Occupational Therapist | 50 Page Ave, Caribou, ME 04736 | 2009-05-06 |
| 1003059189 | Maureen N. Murchison | Rehabilitation Counselor | 159 Bennett Dr Ste 201, Caribou, ME 04736 | 2009-04-20 |
| 1083864441 | Amy L. Deprey | Counselor | 43 Hatch Dr Ste 210, Caribou, ME 04736 | 2008-09-23 |
| 1043467079 | Julie M Bouchard | Physical Therapist | 118 Bennett Dr Ste 140, Caribou, ME 04736 | 2008-08-21 |
| 1770746448 | Andrea L Reid | Social Worker | 20 Old Van Buren Road, Caribou, ME 04736 | 2008-07-03 |
| 1265627863 | Aimee Victoria Mcclellan | Social Worker | 92 Bennett Drive, Caribou, ME 04736 | 2007-09-07 |
| 1245421387 | David Terry Letourneau | Specialist/Technologist | 7 Russ Street, Center for Integrated Neuro-rehab, Caribou, ME 04736 | 2007-08-05 |
| 1851512024 | Lisa Brigitte Deschenes | Physical Therapist | 10 Bernadette Street, Caribou, ME 04736 | 2007-05-02 |
| Find all providers in zip 04736 | ||||
| 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 |
|---|---|---|---|---|
| 1619445921 | Jeremy B Boulier | Social Worker | 647 Main St Ste 14b, Caribou, ME 04736-4509 | 2018-11-05 |
| 1740666460 | Anne Swanson | Social Worker | 559 Sweden St, Caribou, ME 04736-3427 | 2015-08-04 |
| 1700222700 | Tressa L. Philbrook | Social Worker | 35 Liberty St, Caribou, ME 04736-1855 | 2013-05-16 |
| 1770746448 | Andrea L Reid | Social Worker | 20 Old Van Buren Road, Caribou, ME 04736 | 2008-07-03 |
| 1801062047 | Julia R Macek | Social Worker | 1137 Presque Isle Rd, Caribou, ME 04736-4202 | 2008-05-07 |
| 1265627863 | Aimee Victoria Mcclellan | Social Worker | 92 Bennett Drive, Caribou, ME 04736 | 2007-09-07 |
| 1518072347 | Peter Mccorison | Social Worker | 43 Hatch Dr, Caribou, ME 04736-2161 | 2006-08-20 |
| 1245345065 | Mary White | Social Worker | 92 Bennett Dr, Caribou, ME 04736-1952 | 2006-08-20 |
| 1063527257 | Lori Ann Deschaine | Social Worker | 43 Hatch Dr Ste 310, Caribou, ME 04736 | 2006-08-20 |
| 1487601399 | Aroostook Mental Health Services, Inc. | Social Worker | 43 Hatch Drive, Suite 210, Caribou, ME 04736-2161 | 2006-05-27 |
| Find all providers in CARIBOU | ||||
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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.