MR. PAUL R WILSON


Address: 490 E Ridge Rd, Rochester Mental Health Center, Hart Building, Rochester, NY 14621-1229
Phone: 5859222583

MR. PAUL R WILSON (NPI# 1598018038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598018038
Entity Type Individual
Full Name MR. PAUL R WILSON
Credential LCSW
Practice Address 490 E Ridge Rd
Rochester Mental Health Center, Hart Building
Rochester
NY 14621-1229
Mailing Address 250 Lucius Gordon Dr
Suite 4-b
West Henrietta
NY 14586-9662
Practice Telephone 5859222583
Practice Fax Number 5859222583
Mailing Telephone 5854195468
Mailing Fax Number 5854195468
Enumeration Date 2012-10-22
Last Update Date 2016-10-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 104100000X Social Worker 078950 NY Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
084470 NY Behavioral Health & Social Service Providers

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Office Location

Street Address 490 E RIDGE RD
ROCHESTER MENTAL HEALTH CENTER, HART BUILDING
City ROCHESTER
State NY
Zip Code 14621-1229

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366470577 Eric J Brewer Psychiatry & Neurology 490 E Ridge Rd, Rochester, NY 14621-1229 2006-06-28
1013521889 Rachael Elizabeth Ross Counselor 490 E Ridge Rd, Rochester, NY 14621-1297 2020-08-31
1730700659 Cenitra J Johnson Registered Nurse 490 E Ridge Rd, Rochester, NY 14621-1229 2020-05-01
1639704620 Carmela Marie Brooks-nelson Counselor 490 E Ridge Rd, Rochester, NY 14621-1297 2020-03-10
1679104848 Mariya Chepil Registered Nurse 490 E Ridge Rd, Rochester, NY 14621-1229 2020-01-28
1831736677 Andrea Burns Counselor 490 E Ridge Rd, Rochester, NY 14621-1229 2019-11-27
1750922795 Jonna Terhune Social Worker 490 E Ridge Rd, Rochester, NY 14621-1297 2019-10-01
1437708047 Samantha Renee Green Counselor 490 E Ridge Rd, Rochester, NY 14621-1297 2019-09-06
1801444328 Raffinee Acoff-johnson Counselor 490 E Ridge Rd, Rochester, NY 14621-1229 2019-08-28
1629621495 Nicole Clinkscale Counselor 490 E Ridge Rd, Rochester, NY 14621-1297 2019-07-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619515327 Patti Humphrey Occupational Therapist 1831 Ridge Rd. East, Rochester, NY 14621 2019-12-12
1861956682 Sonya Thomas Counselor Sonya Thomas, 490 East Ridge Road, Rochester, NY 14621 2019-01-25
1811478357 Laura Iannella Student in an Organized Health Care Education/Training Program 1455 East Ridge, Rochester, NY 14621 2018-08-23
1982180345 Naman Sharma Student in an Organized Health Care Education/Training Program Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621 2018-07-18
1699213447 Kara Mcallister Nurse Practitioner 370 East Ridge Road, Suite 400, Rochester, NY 14621 2017-02-01
1285082982 Universal Care Services, LLC In Home Supportive Care 64 Delamaine Drive, Rochester, NY 14621 2016-06-03
1700243896 Kenroy King I Registered Nurse 67 Warsaw Street, Rochester, NY 14621 2016-01-21
1154794808 Shari Venisee Licensed Practical Nurse 67 Carthage St, Rochester, NY 14621 2015-11-03
1114349024 Anthony Michael Plavsity Registered Nurse 1450 Clifford Ave, Rochester, NY 14621 2014-01-11
1033541107 The Community Place of Greater Rochester, Inc Case Management 500 Carter Street, Rochester, NY 14621 2013-07-31
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

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1649888116 Michelle Solomou Social Worker 61 Evandale Rd, Rochester, NY 14618-3901 2020-07-21
1366067753 Ashraf Khater Social Worker 513 University Park, Rochester, NY 14620-4434 2020-06-10
1770115560 Diana Lerner Social Worker 1441 Clover St, Rochester, NY 14610-3313 2020-02-10
1922639111 Kristina Maria Washington Social Worker 121 Stover Rd, Rochester, NY 14624-4451 2020-01-28
1689210072 Vanessa Dannielle Peavy Social Worker The University of Rochester, 738 Library Rd., Rochester, NY 14627-1462 2019-11-21
1336799972 Element Psychotherapy LLC Social Worker 333 1/2 S Main St Ste B-1, Rochester, MI 48307-2084 2019-09-16
1215586920 Caswell Vincent Smith Social Worker 161 California Dr, Rochester, NY 14616-4209 2019-09-05
1568010163 Antoinette Palka Gauthier Social Worker 115 Lomb Memorial Dr, Rochester, NY 14623-5608 2019-08-28
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Competitor

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City ROCHESTER
Zip Code 14621

Improve Information

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Dataset Information

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.

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