MS. ANTOINETTE WILSON (NPI# 1528127594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528127594 |
| Entity Type | Individual |
| Full Name | MS. ANTOINETTE WILSON |
| Other Name | MS. ANTOINETTE GAINEY |
| Credential | LCSW |
| Practice Address |
215 E 13th Ave Cordele GA 31015-4249 |
| Mailing Address |
3407 Shamrock Ct Gautier MS 39553 |
| Practice Telephone | 2292760100 |
| Practice Fax Number | 2292760300 |
| Mailing Telephone | 2284970690 |
| Mailing Fax Number | 2284971363 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2019-08-22 |
| NPI Deactivation Date | 12/22/2017 |
| NPI Reactivation Date | 2018-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW006287 | GA | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00018214 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487039889 | Antoinette Wilson | Licensed Practical Nurse | 355 Guilford St, Buffalo, NY 14211-3004 | 2015-07-27 |
| 1225474265 | Antoinette Renee Wilson | Counselor | 13860 Kenwood St Apt 205, Oak Park, MI 48237-2065 | 2013-05-17 |
| 1295074110 | Antoinette L Wilson | Counselor | 11000 Scott St, Houston, TX 77047-1500 | 2013-02-13 |
| 1609160449 | Antoinette Wilson | Case Manager/Care Coordinator | 1502 Mary Kay Blvd., Benton, AR 72015-8909 | 2011-06-08 |
| 1174851992 | Antoinette M Wilson | Physician Assistant | 2347 Fifth Ave, Mckeesport, PA 15132-1126 | 2009-12-07 |
| Street Address |
215 E 13TH AVE |
| City | CORDELE |
| State | GA |
| Zip Code | 31015-4249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346890241 | Bobbi Amber Phillips | Nurse Practitioner | 215 E 13th Ave, Cordele, GA 31015-4249 | 2019-09-13 |
| 1669915856 | Careconnect Health, Inc. | Clinic/Center | 215 E 13th Ave, Cordele, GA 31015-4249 | 2016-11-21 |
| 1750506952 | Jacqueline Brewer Hopkins | Counselor | 215 E 13th Ave, Cordele, GA 31015-4249 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618164 | Jeffrey Allen Wessel Jr. | Physical Therapist | 1107b Greer Street, Cordele, GA 31015 | 2020-08-03 |
| 1316502024 | Clifton Anthony Jordan | Specialist | 1106 East Ave Suite J, Cordele, GA 31015 | 2019-05-08 |
| 1336678440 | Robert Kenneth Lancaster | Dentist | 604 E 15th Avenue, Cordele, GA 31015 | 2017-06-12 |
| 1457602435 | Marvin Tolbert Mcafee IIi | Physician Assistant | 416 East 4th Ave, Suite B, Cordele, GA 31015 | 2012-10-01 |
| 1568719169 | Kimberly Bertelson | Physical Therapy Assistant | 1107 Greer Street, Suite B, Cordele, GA 31015 | 2012-08-14 |
| 1134474174 | R W Leitner Od LLC | Optometrist | 716-c 16th Ave East, Cordele, GA 31015 | 2012-07-16 |
| 1790048023 | Holly K Davis | Nurse Practitioner | 602 E 16th Ave Ste B, Cordele, GA 31015 | 2012-06-21 |
| 1508141482 | Beatrice Hurt Mckee | Nurse Practitioner | 216 Hospital Drive., Cordele, GA 31015 | 2011-10-11 |
| 1669784393 | Elisabeth R Waldrip | Dentist | 115 E 14th Avenue, Cordele, GA 31015 | 2010-07-10 |
| 1063656403 | Priscilla George Thomas | Surgery | 416 E 4th Ave # A, Cordele, GA 31015 | 2009-04-29 |
| Find all providers in zip 31015 | ||||
| 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 |
|---|---|---|---|---|
| 1992241053 | Lisa Michelle Walls | Social Worker | 205 E 13th Ave, Cordele, GA 31015-4249 | 2017-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487782 | Lora Christi Dukes | Social Worker | 612 Kenwood Dr, Waycross, GA 31501-6904 | 2020-11-05 |
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1326647629 | Sheba Phillips | Social Worker | 2402 Orlando Dr, Valdosta, GA 31602-1921 | 2020-10-19 |
| 1144829482 | Jennifer M Sublett | Social Worker | 1721 Sterling Cir, Cairo, GA 39828-4501 | 2020-10-19 |
| 1023617495 | Anita S White | Social Worker | 981 Cleveland Ave, Atlanta, GA 30344-6717 | 2020-10-18 |
| 1700484102 | Nicole Elisabeth Kohl | Social Worker | 70 Sunbury Ct, Richmond Hill, GA 31324-9621 | 2020-10-16 |
| 1629676333 | Christiana Oluwatoyin Sonuga | Social Worker | 699 Clairidge Elm Trl, Lawrenceville, GA 30046-7753 | 2020-10-14 |
| 1407454663 | Danielle Deane | Social Worker | 1655 Grayson Hwy Apt 6307, Grayson, GA 30017-1133 | 2020-10-10 |
| 1306443304 | Holly Stuckey | Social Worker | 5748 Pine Oak Dr, Norcross, GA 30092-3508 | 2020-10-04 |
| 1316544323 | Summer Al-majed | Social Worker | 180 Shore Dr, Suwanee, GA 30024-2940 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
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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.