MR. BRYAN PAUL WILSON (NPI# 1447888045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447888045 |
| Entity Type | Individual |
| Full Name | MR. BRYAN PAUL WILSON |
| Credential | LCSWA |
| Practice Address |
500 Jackson St Roanoke Rapids NC 27870-2602 |
| Mailing Address |
34 River Dr Rocky Mount NC 27804-4414 |
| Practice Telephone | 2525192956 |
| Mailing Telephone | 8284932515 |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P014128 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205182110 | Bryan Mark Wilson | Pharmacist | 501 Se 18th Avenue, Boynton Beach, FL 33435 | 2012-07-28 |
| 1093881534 | Bryan Ocsar Wilson | Dentist | 836 Farmington Ave # St.215, West Hartford, CT 06119-1505 | 2006-11-27 |
| 1750452249 | Bryan Jeffrey Wilson | Dentist | 2172 Robinson St, Oroville, CA 95965-4937 | 2006-11-13 |
| 1518329887 | Bryan Scott Wilson | Psychiatry & Neurology | 265 Griffin St E, Amery, WI 54001-1439 | 2016-03-24 |
| 1972985299 | Bryan Richard Wilson | Emergency Medicine | 801 Ostrum St, Bethlehem, PA 18015 | 2015-06-23 |
| 1366860314 | Bryan James Wilson | Urology | 4315 Diplomacy Dr, Anchorage, AK 99508 | 2014-04-06 |
| 1013332915 | Bryan Wilson | Internal Medicine | 9040 Jackson Ave, Tacoma, WA 98431-2869 | 2014-02-28 |
| 1679907984 | Bryan Wilson | Psychologist | 111 Fayette Ave, Fayetteville, WV 25840-1219 | 2013-08-23 |
| 1134567415 | Bryan Zoran Wilson | Emergency Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2013-06-10 |
| 1336425685 | Bryan Adam Wilson | Physical Therapy Assistant | 515 Main St, Olean, NY 14760-1513 | 2011-11-01 |
| Street Address |
500 JACKSON ST |
| City | ROANOKE RAPIDS |
| State | NC |
| Zip Code | 27870-2602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831721596 | Holt Assessment Services, LLC | Community/Behavioral Health | 622 Unit C Roanoke Avenue, Roanoke Rapids, NC 27870 | 2020-02-10 |
| 1053951244 | Wl Transportation LLC | Non-emergency Medical Transport (VAN) | 557 Litte Deep Creek Road, Roanoke Rapids, NC 27870 | 2020-01-15 |
| 1740748474 | Alexis S Gomez | Physician Assistant | 257 Nc-125, Roanoke Rapids, NC 27870 | 2019-03-12 |
| 1255874418 | Diane Shaw | Technician | 1015 Roanoke Avenue Suite A, Roanoke Rapids, NC 27870 | 2016-11-21 |
| 1568818912 | Adrianne Teague | Counselor | 60 N Highway 125, Roanoke Rapids, NC 27870 | 2016-05-04 |
| 1831552322 | Emergeortho, Pa | Durable Medical Equipment & Medical Supplies | 171 Nc Higway 125, Roanoke Rapids, NC 27870 | 2016-04-01 |
| 1710347885 | Golden Gate Human Services and Transportation | Counselor | 1028 Roanoke Avenue, Roanoke Rapids, NC 27870 | 2016-03-02 |
| 1811354905 | Michael D Turner | Physical Therapy Assistant | 171 Nc Highway 25, Roanoke Rapids, NC 27870 | 2016-01-21 |
| 1215323274 | D'vine Intervention Counseling Center | Community/Behavioral Health | 2424 Oak Street, Portsmouth, VA 27870 | 2015-04-07 |
| 1720408222 | Chastity Kinsler | Counselor | 60 North Highway 125, Roanoke Rapids, NC 27870 | 2014-04-23 |
| Find all providers in zip 27870 | ||||
| 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 |
|---|---|---|---|---|
| 1912219239 | Catherine Jessica Boyer | Social Worker | 608 Vance St, Roanoke Rapids, NC 27870-2522 | 2010-07-02 |
| 1972789550 | Felicia Mason Richardson | Social Worker | 1609 E. 10th Street, B.e.a.r.s., Roanoke Rapids, NC 27870 | 2008-01-14 |
| 1801917679 | Kristin Clayton | Social Worker | 210 Smith Church Road, Roanoke Rapids, NC 27870-4914 | 2007-04-02 |
| 1881719698 | Elizabeth Pruden Edwards | Social Worker | 321 Hwy. 125, Roanoke Rapids, NC 27870-6445 | 2007-03-20 |
| 1518025956 | Keith Poche | Social Worker | 608 Jackson St Ste F, Roanoke Rapids, NC 27870-2656 | 2006-12-05 |
| 1063522175 | Dawn Webb Welch | Social Worker | 525 Becker Drive, Roanoke Rapids, NC 27870-6442 | 2006-08-30 |
| 1073167060 | Shalonda Alston | Social Worker | 608 Jackson St Ste 108, Roanoke Rapids, NC 27870-2600 | 2019-07-29 |
| 1265918130 | Tonya Watson | Social Worker | 600 Jackson St Ste B, Roanoke Rapids, NC 27870-2646 | 2018-07-13 |
| 1932649506 | Karen Wells | Social Worker | 730 Roanoke Ave, Suite A1, Roanoke Rapids, NC 27870-2743 | 2017-03-02 |
| 1134578685 | Marlo Denise Walker | Social Worker | 730 Roanoke Ave, Suite A1, Roanoke Rapids, NC 27870-2743 | 2016-06-06 |
| Find all providers in ROANOKE RAPIDS | ||||
| City | ROANOKE RAPIDS |
| Zip Code | 27870 |
Please comment or provide details below to improve the information on MR. BRYAN PAUL 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.