TERESA S. WILSON LLC (NPI# 1366738734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366738734 |
| Entity Type | Organization |
| Organization Name | TERESA S. WILSON LLC |
| Practice Address |
1050 17th St Nw Suite 1000 Washington DC 20036-5503 |
| Mailing Address |
21 N Rolling Rd Catonsville MD 21228-4849 |
| Practice Telephone | 4102277191 |
| Mailing Telephone | 4102277191 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |
| Authorized Official Name | MRS. TERESA SHARLENE WILSON (OWNER) |
| Authorized Official Telephone | 4102277191 |
| Authorized Official Credential | LPC, LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | LMFT000138 | DC | Agencies |
| Y | 251S00000X | Community/Behavioral Health | PRC14103 | DC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI TYPE 1 | 1437450988 | 01 |
| Street Address |
1050 17TH ST NW SUITE 1000 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20036-5503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184610925 | Karen Divinagracia Durana | Physical Therapist | 1050 17th St Nw, Ste 1000, Washington, DC 20036-5503 | 2005-09-27 |
| 1588191209 | Maria A Jimenez | Social Worker | 1050 17th St Nw, Suite 800, Washington, DC 20036-5503 | 2017-05-12 |
| 1902356850 | Washington Dc Center for Neurocognitive Excellence LLC | Social Worker | 1050 17th St Nw, Suite 800, Washington, DC 20036-5503 | 2016-10-04 |
| 1013382928 | Mia Paustian | Psychologist | 1050 17th St Nw, Ste 1000, Washington, DC 20036-5503 | 2015-12-02 |
| 1407220981 | Charlene Brathwaite | Social Worker | 1050 17th St Nw, Suite 800, Washington, DC 20036-5503 | 2015-11-20 |
| 1063888915 | Tiffani Allen | Counselor | 1050 17th St Nw, Suite 800, Washington, DC 20036-5503 | 2015-08-14 |
| 1548644263 | Harvest Hartsfield | Counselor | 1050 17th St Nw, Ste 1000, Washington, DC 20036-5503 | 2015-07-13 |
| 1962820225 | Isabella Suero-stackl | Social Worker | 1050 17th St Nw, Suite 1000, Washington, DC 20036-5503 | 2014-04-03 |
| 1083993125 | Stephanie K Speidel | Counselor | 1050 17th St Nw, Suite 800, Washington, DC 20036-5503 | 2011-08-08 |
| 1861780157 | Brian C Armstrong | Counselor | 1050 17th St Nw, Suite 1000, Washington, DC 20036-5503 | 2011-07-20 |
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|---|---|---|---|---|
| 1487266995 | Martha Johnson | Social Worker | 1555 Connective Ave Nw, #500w, Washington, DC 20036 | 2020-08-18 |
| 1629691092 | City Dental Dc- 2055 L, Pllc | Dentist | 2075 L Street, Nw, Washington, DC 20036 | 2020-05-20 |
| 1790305506 | Healing Roots Counseling, LLC | Counselor | 1555 Connecticut Ave, Nw Suite 401, Washington, DC 20036 | 2020-04-22 |
| 1396391124 | New Touch Digital Inc. | Durable Medical Equipment & Medical Supplies | 2055 L Street W, Suite 400, Washington, DC 20036 | 2019-08-16 |
| 1770054371 | Olivia Renee Searle | Physical Therapist | 1145 19th Street Nw Suite 413, Washington, DC 20036 | 2018-12-09 |
| 1366920050 | Savonna Clecia Robinson | Home Health Aide | Capital Home Health Care, 1820 Jefferson Street, Washington, DC 20036 | 2018-08-03 |
| 1619480829 | Meredith Harris | Physical Therapist | 1120 20th St Nw Ste 116, Washington, DC 20036 | 2017-11-09 |
| 1225540503 | Tsigereda Getachew Nigussie | Registered Nurse | 1707 L St Nw Suit 900, Washington, DC 20036 | 2017-10-26 |
| 1033629928 | Bolanle Christie Koyejo | Home Health Aide | 1820 Jefferson Place Nw, Washington, DC 20036 | 2017-10-05 |
| 1679082648 | Fethia Bekeri | Home Health Aide | 1820 Jefferson Pl, Nw, Washington, DC 20036 | 2017-09-21 |
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| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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| 1801423314 | Wise Human Services | Community/Behavioral Health | 126 Belvidere Ave, Washington, NJ 07882-1417 | 2020-03-25 |
| 1417583360 | Professional Counseling Connections | Community/Behavioral Health | 3021 Highway A Ste 104, Washington, MO 63090-5498 | 2020-03-22 |
| 1891326104 | For Us Therapeutics Counseling & Consulting Services, LLC | Community/Behavioral Health | 1425 Hst, Ne, Washington, DC 20002 | 2020-01-27 |
| 1033757232 | District of Columbia Recovery Community Alliance Inc | Community/Behavioral Health | 5656a 3rd St Ne, Washington, DC 20011-2532 | 2019-12-18 |
| 1043851868 | J. Francis Black LLC | Community/Behavioral Health | 3000 Connecticut Ave Nw Ste 137, Washington, DC 20008-2549 | 2019-10-02 |
| 1689222804 | Samantha Morrell LLC | Community/Behavioral Health | 1724 20th St Nw Ste 202, Washington, DC 20009-1355 | 2019-08-30 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20036 |
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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.