MRS. BRIDGENETT WILSON (NPI# 1134529746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134529746 |
| Entity Type | Individual |
| Full Name | MRS. BRIDGENETT WILSON |
| Practice Address |
1211 Sw Bascom Norris Dr Ste 101 Lake City FL 32025-4916 |
| Mailing Address |
1485 S Semoran Blvd Ste 1448 Winter Park FL 32792-5508 |
| Practice Telephone | 3862438800 |
| Mailing Telephone | 3213973000 |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | ISW 7863 | FL | Behavioral Health & Social Service Providers |
| Street Address |
1211 SW BASCOM NORRIS DR STE 101 |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-4916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| 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 |
|---|---|---|---|---|
| 1497221766 | Micah Jean Beckman | Social Worker | 6180 W Sanborn Rd, Lake City, MI 49651-8848 | 2018-10-15 |
| 1346699576 | Aja Wallace | Social Worker | 215 Maple Dr, Lake City, SC 29560-3931 | 2016-06-08 |
| 1639413362 | Cedar Tree Behavioral Health Services | Social Worker | 5588 Reynolds Rd, Lake City, GA 30260-3776 | 2012-11-19 |
| 1548249360 | Anton Frans Kootte | Social Worker | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2006-01-11 |
| 1518338029 | Dawn Marie Diekhoff | Social Worker | 619 S Marion Ave, Lake City, FL 32025-5808 | 2015-10-09 |
| 1972973618 | Lara Robertson | Social Worker | 305 Nw Christian Ct, Lake City, FL 32055-4837 | 2015-10-06 |
| 1053753848 | Shannon Charles | Social Worker | 619 S Marion Ave, Lake City, FL 32025-5808 | 2013-07-23 |
| 1588923908 | Holly N Ward | Social Worker | 619 S Marion Ave, Lake City, FL 32025-5808 | 2012-05-04 |
| 1871884478 | Christopher Hayton | Social Worker | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2011-04-29 |
| 1174756191 | Darlene Giddens Beard | Social Worker | 619 S Marion Ave, Vamc Department of Veteran Affairs, Lake City, FL 32025-5808 | 2009-08-25 |
| Find all providers in LAKE CITY | ||||
Please comment or provide details below to improve the information on MRS. BRIDGENETT WILSON.
| 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.