MRS. CONSTANCE ELAINE WILDEY


Address: 2200 Market St Ste 412, Galveston, TX 77550-1532
Phone: 4097656321

MRS. CONSTANCE ELAINE WILDEY (NPI# 1639289440) 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) 1639289440
Entity Type Individual
Full Name MRS. CONSTANCE ELAINE WILDEY
Credential LCSW
Practice Address 2200 Market St Ste 412
Galveston
TX 77550-1532
Practice Telephone 4097656321
Practice Fax Number 4097629151
Mailing Telephone 4097656321
Mailing Fax Number 4097629151
Enumeration Date 2006-08-30
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
LMSW 03248 TX Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX BLUE CROSS/BLUE SHIELD 871291Q 01

Office Location

Street Address 2200 MARKET ST STE 412
City GALVESTON
State TX
Zip Code 77550-1532

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1669911541 Maryann Martin Nurse Practitioner 901 Harborside Drive, Galveston, TX 77550 2017-02-13
1942563945 Sheba Ann Luke Nurse Practitioner 400 Harborside Dr #104, Galveston, TX 77550 2012-06-25
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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

NPI Name Taxonomy Address Enumeration
1760091367 Caroline Tremblay Social Worker 20 Legas Dr, Galveston, TX 77551-1568 2020-07-29
1386285344 Taylor N Adams Social Worker 4227 Avenue T, Galveston, TX 77550-8647 2019-10-01
1295104099 Esmeralda Barrera Kovach Social Worker Utmb Dept of Family Medicine, 400 Harborside, Galveston, TX 77555-0001 2015-09-22
1972687739 Tracie Hammelman Social Worker 3415 Avenue Q 1/2, Galveston, TX 77550-7566 2006-10-25
1659340164 Patricia Louise Merkley Social Worker 1 Barque Ln, Galveston, TX 77554-2929 2006-03-16
1912426172 Helen Dannielle Whitehouse Social Worker 2200 Market St Ste 600, Galveston, TX 77550-1532 2017-09-19
1467810614 Laurel Jill Machen Social Worker 301 University Blvd, Galveston, TX 77555-5302 2016-02-03
1013223940 Holly Elizabeth Mcmanus Social Worker 2200 Market St, Suite 600, Galveston, TX 77550-1530 2010-08-30
1598941759 Patricia A. Hewlett Social Worker 301 University Blvd, Galveston, TX 77555-1385 2008-01-17
1497813919 Lawrence S Micheletti Social Worker 2200 Market St, Ste 609, Galveston, TX 77550-1530 2006-12-05
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Competitor

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City GALVESTON
Zip Code 77550

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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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