ALEXANDRA WILSON (NPI# 1417430802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417430802 |
| Entity Type | Individual |
| Full Name | ALEXANDRA WILSON |
| Credential | LCSW |
| Practice Address |
1661 E Chapman Ave Ste 1e Fullerton CA 92831-4061 |
| Mailing Address |
Po Box 9872 Brea CA 92822-1872 |
| Practice Telephone | 6573454904 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW84626 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306356589 | Alexandra Wilson | Nurse Practitioner | 3033 W Layton Ave # 102, Greenfield, WI 53221-2628 | 2017-10-02 |
| 1770002396 | Alexandra Catheryn Wilson | Physical Therapist | 8551 W Lake Mead Blvd Ste 170, Las Vegas, NV 89128-7649 | 2017-09-14 |
| 1538510144 | Alexandra Wilson | Social Worker | 1818 Skyland Dr, Clearwater, FL 33759-1724 | 2016-06-24 |
| 1588298103 | Alexandra Norris Wilson | Physician Assistant | 18333 Egret Bay Blvd Ste 200, Houston, TX 77058-3200 | 2020-02-24 |
| 1669954970 | Alexandra Wilson | Social Worker | 10 Asylum St, Milford, MA 01757-2203 | 2018-09-04 |
| 1083110902 | Alexandra Wilson | Behavior Technician | 14895 E 14th St Ste 465, San Leandro, CA 94578-2989 | 2018-03-30 |
| 1528563384 | Alexandra Grace Wilson | Student in an Organized Health Care Education/Training Program | 1960 N Ogden St Ste 400, Denver, CO 80218-3670 | 2018-03-26 |
| 1932616406 | Alexandra Pfefferle Wilson | Physical Therapist | 10740 Nall Ave Ste 215, Overland Park, KS 66211 | 2018-01-05 |
| 1760995096 | Alexandra Wilson | Behavioral Analyst | 12650 Hamilton Crossing Blvd, Carmel, IN 46032-5400 | 2017-11-08 |
| 1447774484 | Alexandra Erin Wilson | Specialist/Technologist | 1 College Park Dr, Saint Louis, MO 63141-8660 | 2017-08-01 |
| Street Address |
1661 E CHAPMAN AVE STE 1E |
| City | FULLERTON |
| State | CA |
| Zip Code | 92831-4061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164701850 | Sylvia Sue Boden | Social Worker | 1661 E Chapman Ave Ste 1e, Fullerton, CA 92831-4061 | 2011-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
| 1043733736 | Jimmy K Bhatt | Dentist | 1126 E Commonweath Ave, Fullerton, CA 92831 | 2017-07-25 |
| 1447625090 | Kairos Management | Assisted Living Facility | 1621 E. Chapman Ave, Fullerton, CA 92831 | 2015-12-08 |
| 1407251630 | Sam's West, Inc | Technician/Technologist | 601 S Placentia Ave, Fullerton, CA 92831 | 2014-10-30 |
| 1114361813 | Teresa Kyu Thin Khoo | Internal Medicine | 1907 Deerpark Dr Apt 546, Fullerton, CA 92831 | 2013-04-24 |
| 1699020586 | Julia A Bock | Occupational Therapy Assistant | 1240 N Frances Avenue, Fullerton, CA 92831 | 2012-07-17 |
| 1649566225 | The Center for The Treatment of Addiction | Preferred Provider Organization | 104 N. Raymond Ave., A-2, Fullerton, CA 92831 | 2011-06-22 |
| 1366746877 | Leticia Vallejo | Rehabilitation Practitioner | 801 E.chapman Ave, Fullerton, CA 92831 | 2010-12-28 |
| 1083916860 | Angelica Victoria Norman | Counselor | 801 East Chapman Suite 203, Fullerton, CA 92831 | 2010-11-30 |
| 1457683237 | The Paradise | Home Delivered Meals | 659 S Sate College Blvd., Ste. 51, Fullerton, CA 92831 | 2010-02-04 |
| Find all providers in zip 92831 | ||||
| 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 |
|---|---|---|---|---|
| 1962017103 | Sofia Celestina Martinez | Social Worker | 835 Adlena Dr, Fullerton, CA 92833-2349 | 2020-09-14 |
| 1457826919 | Bridget Kathleen Russell | Social Worker | 136 Melville Dr, Fullerton, CA 92835-3531 | 2018-10-10 |
| 1033633847 | Christy C Molino | Social Worker | 225 N Highland Ave Apt 201, Fullerton, CA 92832-1847 | 2017-08-02 |
| 1780049403 | Joyce Riley | Social Worker | 523 Blue Water Ln, Fullerton, CA 92831-1854 | 2015-12-22 |
| 1235509589 | Jinwoo Chung | Social Worker | 2077 Owens Dr, Fullerton, CA 92833-5750 | 2015-09-29 |
| 1891137733 | Heather Joy Dale | Social Worker | 3500 Rosehedge Dr, Fullerton, CA 92835-1628 | 2013-07-19 |
| 1871931188 | Mikyong Kim-goh | Social Worker | 974 Verona Dr, Fullerton, CA 92835-3339 | 2013-06-08 |
| 1164701850 | Sylvia Sue Boden | Social Worker | 1661 E Chapman Ave Ste 1e, Fullerton, CA 92831-4061 | 2011-08-11 |
| 1326339227 | Margit Bane | Social Worker | 1631 S Pomona Ave Unit D26, Fullerton, CA 92832-3428 | 2011-04-26 |
| 1639489248 | David Calvillo | Social Worker | 3607 W Valencia Dr, Fullerton, CA 92833-3134 | 2010-10-15 |
| Find all providers in FULLERTON | ||||
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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.