KELLY L WILSON (NPI# 1275688137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275688137 |
| Entity Type | Individual |
| Full Name | KELLY L WILSON |
| Practice Address |
200 N Congress St Suite 100 Jackson MS 39201-1902 |
| Practice Telephone | 6013558634 |
| Mailing Telephone | 6013558634 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | C5370 | MS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 08135705 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720694086 | Kelly Wilson | Dietitian, Registered | 6865 Hitchingham Rd, Ypsilanti, MI 48197-8998 | 2020-09-21 |
| 1447736798 | Kelly Wilson | Assisted Living Facility | 8848 Gloralee St, Anchorage, AK 99502 | 2018-07-18 |
| 1992144372 | Kelly Wilson | Specialist/Technologist | 4241 Quail Hollow Cir, Cuyahoga Falls, OH 44224-5124 | 2013-06-19 |
| 1689903593 | Kelly Elizabeth Wilson | Occupational Therapist | 1522 Morris Ave, Norfolk, VA 23509-1217 | 2009-12-24 |
| 1407023591 | Kelly Wilson | Psychologist | 13875 Highway 13 S, Suite 275, Savage, MN 55378-2136 | 2008-05-08 |
| 1841330768 | Kelly Brooks Wilson | Dentist | 2201 S Blvd, Suite 210, Charlotte, NC 28203-6208 | 2007-02-08 |
| 1538255344 | Kelly E Wilson | Specialist | 7400 Fannin Suite 930, Houston, TX 77054 | 2006-10-05 |
| 1942283551 | Kelly W Wilson | Obstetrics & Gynecology | 220 East Harris Avenue, San Angelo, TX 76903 | 2005-11-29 |
| 1023646858 | Kelly Comolli Wilson | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Health Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2020-03-28 |
| 1528619160 | Kelly Ann Wilson | Student in an Organized Health Care Education/Training Program | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2019-09-25 |
| Street Address |
200 N CONGRESS ST SUITE 100 |
| City | JACKSON |
| State | MS |
| Zip Code | 39201-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487101499 | Sandra Jeanette Lee | Social Worker | 200 N Congress St, Jackson, MS 39201-1902 | 2016-09-07 |
| 1730586173 | Miracle Paige | Counselor | 200 N Congress St, Jackson, MS 39201-1902 | 2014-12-01 |
| 1316293095 | Kelli Leo | Counselor | 200 N Congress St, Suite 100, Jackson, MS 39201-1902 | 2012-07-31 |
| 1679865448 | Noreen Rose Waithaka | Counselor | 200 N Congress St, Suite 100, Jackson, MS 39201-1902 | 2011-05-11 |
| 1831401116 | Brandi Allen | Social Worker | 200 N Congress St, Suite 100, Jackson, MS 39201-1902 | 2010-07-02 |
| 1023346319 | Lindsey Timm Davidson | Social Worker | 200 N Congress St, Suite 100, Jackson, MS 39201-1902 | 2009-11-24 |
| 1508092925 | Amy Turner | Social Worker | 200 N Congress St, Jackson, MS 39201-1902 | 2009-06-01 |
| 1184850422 | Aimee Lori Garrott | Social Worker | 200 N Congress St, Suite 100, Jackson, MS 39201-1902 | 2009-06-01 |
| 1043461262 | Frances Horton White | Counselor | 200 N Congress St, Suite 100, Jackson, MS 39201-1902 | 2008-10-07 |
| 1497914766 | Shelia Dianne Williams | Counselor | 200 N Congress St, Suite 100, Jackson, MS 39201-1902 | 2008-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962836874 | Tanericha Lashay Anderson | In Home Supportive Care | 3200 Jackson St, Jackson, MS 39201 | 2013-08-27 |
| 1871617423 | Karen White Jones | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2007-03-19 |
| 1912520768 | James Charles Haycraft | Marriage & Family Therapist | 431 N State St, Jackson, MS 39201-1108 | 2020-05-27 |
| 1548758832 | Lisa Allegrezza Sorey | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2018-04-23 |
| 1609287531 | William Mcneese Jr. | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2014-05-13 |
| 1902217805 | Laurel Boyd | Counselor | 431 N State St, Summit Counseling, Jackson, MS 39201-1108 | 2014-05-13 |
| 1134424450 | Ronald Gene Mumbower | Psychologist | 431 N State St, Jackson, MS 39201-1108 | 2011-01-18 |
| 1427350453 | Donald E. Waller | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2010-11-23 |
| 1285935932 | Summit Counseling | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2010-11-11 |
| 1184938060 | Lee Smith | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2010-08-03 |
| Find all providers in zip 39201 | ||||
| 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 |
|---|---|---|---|---|
| 1750989612 | Rhonda Bufkin | Social Worker | 405 Briarwood Dr Ste 302, Jackson, MS 39206-3052 | 2020-10-13 |
| 1023645884 | Cycle of Life Support Community Health Services LLC | Social Worker | 1520 E Ganson St, Jackson, MI 49202-3530 | 2020-03-23 |
| 1669006532 | Alexis Holly | Social Worker | 405 Briarwood Dr # 302, Jackson, MS 39206-3052 | 2020-02-28 |
| 1609418250 | Ashley Frascella | Social Worker | 13 Parkhill St, Jackson, NJ 08527-3737 | 2019-10-16 |
| 1104475268 | Valerie Baker | Social Worker | 172 W University Pkwy Ste A, Jackson, TN 38305-1622 | 2019-09-10 |
| 1548815863 | Lily Kovach | Social Worker | 6552 Smith Rd, Jackson, MI 49201-9612 | 2019-08-04 |
| 1285298513 | Kyla Milan Washington | Social Worker | 950 W Monroe St Ste 600a&b, Jackson, MI 49202-2079 | 2019-04-22 |
| 1639630551 | Pamela Stalter-o'neil | Social Worker | 5572 Viking Dr, Jackson, MI 49201-8815 | 2019-03-26 |
| 1407316284 | Yvonne Vieira Moffett | Social Worker | 950 W Monroe St Ste A&600b, Jackson, MI 49202-2079 | 2019-03-20 |
| 1710458419 | Jasmine Grace Walker | Social Worker | 338 Galvez St, Jackson, MS 39209-3903 | 2018-12-06 |
| Find all providers in JACKSON | ||||
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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.