MR. LARRY JAMES WILSON (NPI# 1528211232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528211232 |
| Entity Type | Individual |
| Full Name | MR. LARRY JAMES WILSON |
| Credential | LCSW, LMSW |
| Practice Address |
1572 Zephyr Ave El Cajon CA 92021-3560 |
| Practice Telephone | 6195888811 |
| Mailing Telephone | 6195888811 |
| Enumeration Date | 2008-10-25 |
| Last Update Date | 2015-02-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW28901 | CA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
L910594 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750869285 | Larry Colenzo Wilson | Counselor | 6224 N Inwood Rd, Shreveport, LA 71119-7213 | 2018-08-06 |
| 1992171086 | Larry Wilson | Chiropractor | 800 W Platt St Ste 2, Tampa, FL 33606-4112 | 2015-08-12 |
| 1538344908 | Larry Dwight Wilson Jr. | Counselor | 3020 18th St Suite 17, Catholic Charities, Columbus, NE 68601-4254 | 2008-01-04 |
| 1689749582 | Larry Flick Wilson | Preventive Medicine | Faa, Ace-300, 901 Locust Street, Rm 350, Kansas City, MO 64106 | 2006-11-24 |
| 1932297892 | Larry Don Wilson | Dentist | 2247 Helton Dr, Florence, AL 35630-1063 | 2006-10-10 |
| 1275541344 | Larry Bertram Wilson | Dentist | 721 W Arapaho Rd, #102, Richardson, TX 75080-4155 | 2006-08-04 |
| 1801819495 | Larry Al Wilson | Counselor | 2708 E Tanager Trl, Orange, TX 77632-0750 | 2006-07-25 |
| 1134121221 | Larry T Wilson | Family Medicine | 701 S Morgan Ave, Andrews, SC 29510 | 2005-06-02 |
| 1063918167 | Larry Wilson | Case Manager/Care Coordinator | 418 Center St, Wheelersburg, OH 45694-1712 | 2018-04-05 |
| 1801390273 | Larry Greg Wilson | Case Manager/Care Coordinator | 115 Private Road 977, Pedro, OH 45659-8608 | 2018-03-21 |
| Street Address |
1572 ZEPHYR AVE |
| City | EL CAJON |
| State | CA |
| Zip Code | 92021-3560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728498 | Hala Kadhem | Counselor | 1664 Broadway, El Cajon, San Diego, CA 92021 | 2020-07-30 |
| 1891331021 | Medevac Inc | Ambulance | 8025 Tone Lane, El Cajon, CA 92021 | 2019-11-22 |
| 1760024095 | San Diego Health Alliance, Inc. | Clinic/Center | 1625 East Main Street, El Cajon, CA 92021 | 2019-10-08 |
| 1295388932 | Coleen Stacie Cobbs | Social Worker | 1013 Greta Street, El Cajon, CA 92021 | 2019-07-22 |
| 1144744475 | Sarah Kala | Pharmacist | 505 N Mollison Ave #102, El Cajon, CA 92021 | 2017-07-28 |
| 1699139816 | Mayra Aranda | Counselor | 1679 East Main Street, Suite 102, El Cajon, CA 92021 | 2016-04-13 |
| 1942603436 | Scott Crusey | Counselor | 1679 East Main Street, Suite 102, El Cajon, CA 92021 | 2014-09-29 |
| 1104254317 | Naimh Martin | Counselor | 1630 E Main Street, El Cajon, CA 92021 | 2013-10-25 |
| 1386875540 | Jacqueline Vu Luong | Marriage & Family Therapist | 1000 Broadway #100, El Cajon, CA 92021 | 2009-08-05 |
| 1740444264 | Peter Morhan Sun | General Practice | 7957 Bevin Lane, El Cajon, CA 92021 | 2008-07-14 |
| Find all providers in zip 92021 | ||||
| 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 |
|---|---|---|---|---|
| 1295388932 | Coleen Stacie Cobbs | Social Worker | 1013 Greta Street, El Cajon, CA 92021 | 2019-07-22 |
| 1265988976 | Marianne Hommel | Social Worker | 389 North Magnolia Avenue, El Cajon, CA 92020 | 2016-09-01 |
| 1487028700 | Phyllis Anne Carlson | Social Worker | 389 N Magnolia Ave, El Cajon, CA 92020-3977 | 2015-11-24 |
| 1659655702 | Charity White-voth | Social Worker | 1107 E Washington Ave, El Cajon, CA 92019-3002 | 2011-10-07 |
| 1790010452 | Bernadette Marie Dunbar | Social Worker | 270 E. Douglas Ave #4, El Cajon, CA 92020-4514 | 2009-10-13 |
| 1427182765 | Gloria Jo Rast | Social Worker | 347 Vista Abierta, El Cajon, CA 92019-1234 | 2007-03-16 |
| 1457482572 | Maryjane Evans | Social Worker | 330 S Magnolia Ave Ste 302, El Cajon, CA 92020-5224 | 2007-03-08 |
| 1104952340 | Cheryl Theresa Washington | Social Worker | 1685 Whitsett Dr, El Cajon, CA 92020-1362 | 2007-02-24 |
| 1053473157 | Elizabeth Anne Hersch | Social Worker | 1000 Broadway Ste 210, El Cajon, CA 92021-4899 | 2006-12-14 |
| 1376555797 | Judy Anne Davis | Social Worker | 1060 Estes St, El Cajon, CA 92020-7411 | 2006-08-13 |
| Find all providers in EL CAJON | ||||
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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.