JAMIE LYNN WILSON (NPI# 1205489630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205489630 |
| Entity Type | Individual |
| Full Name | JAMIE LYNN WILSON |
| Credential | LMSW |
| Practice Address |
1432 Southwest Blvd Jefferson City MO 65109-2444 |
| Mailing Address |
Po Box 1128 Jefferson City MO 65102-1128 |
| Practice Telephone | 5736325000 |
| Mailing Telephone | 5736325495 |
| Mailing Fax Number | 5736325854 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313223 | Jamie Sueann Wilson | Massage Therapist | 240 Harwood Rd Ste 3, Bedford, TX 76021-4189 | 2020-10-09 |
| 1295360071 | Jamie E Wilson | Case Manager/Care Coordinator | 1270 Peeks Ford Rd Se, Conyers, GA 30013-2944 | 2020-03-11 |
| 1730602178 | Jamie Dawn Wilson | Behavior Technician | 3759business 220 N, Suite 101, Bedford, PA 15522 | 2017-07-18 |
| 1740684729 | Jamie Wilson | Nurse Practitioner | 24 White Bridge Pike, Nashville, TN 37205-1411 | 2014-10-20 |
| 1770913832 | Jamie Wilson | Counselor | 5001 Plainfield Ave Ne Ste B, Grand Rapids, MI 49525-1050 | 2013-11-26 |
| 1114190576 | Jamie Johnston Wilson | Registered Nurse | Hwy 72 West, Salem, MO 65560 | 2008-04-08 |
| 1457578411 | Jamie Linn Wilson | Registered Nurse | 15244 County Road 3, Frazeysburg, OH 43822-9622 | 2007-04-19 |
| 1164057808 | Jamie Wilson | Neurological Surgery | 4242 Farnam St Ste 550, Omaha, NE 68131-2813 | 2020-03-03 |
| 1962052746 | Jamie C Wilson | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2019-09-13 |
| 1346808250 | Jamie L Wilson | Counselor | 130 W 3rd St, Dover, OH 44622-2934 | 2019-06-05 |
| Street Address |
1432 SOUTHWEST BLVD |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-2444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639166481 | Shelby D Rifkin | Internal Medicine | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2005-10-05 |
| 1942816897 | Ashley Nicole Bramer | Speech-Language Pathologist | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2020-09-16 |
| 1891319877 | Derek Scott Parker | Physical Therapist | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2020-06-04 |
| 1902459910 | Miranda L Backes | Counselor | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2019-07-18 |
| 1356809297 | Stacy Lynn Stegeman | Counselor | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2019-03-11 |
| 1295207371 | Mary Blochberger | Specialist/Technologist | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2018-12-29 |
| 1053714154 | Wesley Clifford Thompson | Psychologist | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2014-10-02 |
| 1235473380 | Nicole Danielle Borrenpohl | Nurse Practitioner | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2012-11-15 |
| 1679825244 | Capital Region Medical Center | Radiology | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2012-10-08 |
| 1982953196 | Lynn Margaret Grant | Dietitian, Registered | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2012-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| 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 |
|---|---|---|---|---|
| 1275154825 | Jessica Rea Harris | Social Worker | 409 Capitol View Dr, Jefferson City, MO 65101-3904 | 2020-05-05 |
| 1962983841 | Stephen Field Keohane | Social Worker | 331 Freedom Ln, Jefferson City, TN 37760-4132 | 2018-08-28 |
| 1609201896 | Brian Jesse Page | Social Worker | 2302 Militia Dr, Jefferson City, MO 65101-1203 | 2013-09-06 |
| 1093090508 | Sunrise Counseling LLC | Social Worker | 1808a Southwest Blvd, Jefferson City, MO 65109-2438 | 2011-10-15 |
| 1619257326 | Re-entry Transitions Counseling, L.L.C. | Social Worker | 1001 Southwest Blvd Ste F, Jefferson City, MO 65109-2501 | 2011-08-25 |
| 1306017132 | Harry Frederick Morlock Sr. | Social Worker | 972 Westwood Dr, Jefferson City, MO 65109-1863 | 2008-03-19 |
| 1104948769 | Kenneth Mark Skouby | Social Worker | 515a East Mccarty, Jefferson City, MO 65101 | 2007-04-04 |
| 1699702225 | Jennifer Lynn Mccullough | Social Worker | 909 Missouri Blvd, Suite F, Jefferson City, MO 65109-1771 | 2006-06-27 |
| 1104896745 | Timothy Wayne Davis | Social Worker | 283 W Broadway Blvd, Jefferson City, TN 37760-2302 | 2006-01-25 |
| 1013518513 | Jennie M Harvat | Social Worker | 227 Metro Dr, Jefferson City, MO 65109-1134 | 2020-11-03 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
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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.