MIA WILSON (NPI# 1649883943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649883943 |
| Entity Type | Individual |
| Full Name | MIA WILSON |
| Credential | LCSW |
| Practice Address |
180 Fairfield Ave Bridgeport CT 06604-4252 |
| Mailing Address |
68 Buckingham Dr Stamford CT 06902-8310 |
| Practice Telephone | 2037270613 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
11154 | CT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 68 Buckingham Dr, Stamford, CT 069028310 | 2033099591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912921743 | Mia R Wilson | Counselor | 5379 Lenox Ave, Jacksonville, FL 32205-4737 | 2006-07-26 |
| 1306404397 | Mia Michelle Wilson | Case Manager/Care Coordinator | 6762 Lexington Ave, Los Angeles, CA 90038-1217 | 2019-06-04 |
| Street Address |
180 FAIRFIELD AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06604-4252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659431518 | The Child and Family Guidance Center, Inc. | Social Worker | 180 Fairfield Ave, Bridgeport, CT 06604-4252 | 2006-12-11 |
| 1770180002 | Giancarlo Bravo-laguna | Social Worker | 180 Fairfield Ave, Bridgeport, CT 06604-4252 | 2020-10-09 |
| 1669021218 | Betsy Rivera Ruiz | Social Worker | 180 Fairfield Ave, Bridgeport, CT 06604-4252 | 2019-09-06 |
| 1043862360 | Shannon Marie Ryan | Social Worker | 180 Fairfield Ave, Bridgeport, CT 06604-4252 | 2019-07-16 |
| 1588225395 | Helen Bonserio | Case Manager/Care Coordinator | 180 Fairfield Ave, Bridgeport, CT 06604-4252 | 2019-06-24 |
| 1386106011 | Luciene Coretta Cummings | Counselor | 180 Fairfield Ave, Bridgeport, CT 06604-4252 | 2019-04-02 |
| 1184182784 | Yuvanda Brown | Counselor | 180 Fairfield Ave, Bridgeport, CT 06604-4252 | 2019-03-04 |
| 1104382993 | Bianca Cummings | Counselor | 180 Fairfield Ave, Bridgeport, CT 06604-4252 | 2019-02-16 |
| 1801350236 | Elizabeth Nieves | Marriage & Family Therapist | 180 Fairfield Ave, Bridgeport, CT 06604-4252 | 2019-01-30 |
| 1437622438 | Marissa Ann Morin | Marriage & Family Therapist | 180 Fairfield Ave, Bridgeport, CT 06604-4252 | 2019-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780163246 | Jill K Bebey | Pharmacist | 564 A Park Ave, Bridgeport, CT 06604 | 2018-08-07 |
| 1538663430 | Ryan Attar | Naturopath | 129 Columbia St, Bridgeport, CT 06604 | 2018-03-23 |
| 1487153375 | Fe Y Esperanza Home Care Services | Home Health | 2032 Main Street, Bridgeport, CT 06604 | 2018-02-06 |
| 1013423466 | Va.lu Able Home Care LLC | Registered Nurse | 1000 Lafayette Boulvard, Bridgeport, CT 06604 | 2017-12-21 |
| 1679970172 | Aarti Jawa | Dentist | 594 Pequonnoack Street, Bridgeport, CT 06604 | 2014-11-26 |
| 1932521473 | Anthony Santostefano | Dentist | 594 Pequonnock Street, Bridgeport, CT 06604 | 2014-01-18 |
| 1699011536 | Vanessa Frances Doyle | Naturopath | 115 Broad Street, C/o Center of Excellence, Bridgeport, CT 06604 | 2012-12-21 |
| 1942463302 | Joanna Conte Mcgary | Naturopath | 60 Lafayette Street, Naturopathic Medical Center University of Bridgeport, Bridgeport, CT 06604 | 2008-07-07 |
| 1346415221 | Jenna Lyn Blasi | Naturopath | 60 Lafayette, University of Bridgeport College of Naturopathic Medici, Bridgeport, CT 06604 | 2008-04-23 |
| 1275704462 | Watermark 3030 Park LLC | Skilled Nursing Facility | 3030 Park Ave, Bridgeport, CT 06604 | 2008-03-17 |
| Find all providers in zip 06604 | ||||
| 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 |
|---|---|---|---|---|
| 1477163400 | Christine Rene Meredith | Social Worker | 505 Hovey St, Bridgeport, TX 76426-2923 | 2020-08-04 |
| 1225647597 | Synaptic Communications | Social Worker | 73 Seaside Ave, Bridgeport, CT 06605-3540 | 2020-07-23 |
| 1548878192 | Theresa Manuel | Social Worker | 325 Lafayette St Unit 3105, Bridgeport, CT 06604-5475 | 2020-07-20 |
| 1396306015 | Shanika Rucker | Social Worker | 1000 Lafayette Blvd Ste 1105, Bridgeport, CT 06604-4725 | 2019-06-24 |
| 1780147322 | Rashanee Green-younger | Social Worker | 53 Louisiana Ave, Bridgeport, CT 06610-1542 | 2019-04-10 |
| 1396230801 | Victoria Zoeller | Social Worker | 140 John St, Bridgeport, CT 06604-4323 | 2018-06-27 |
| 1396252276 | Marriott Lpc | Social Worker | 3715 Main St Ste 402, Bridgeport, CT 06606-3611 | 2018-01-02 |
| 1477068203 | Tonisha Keon Cohen-king | Social Worker | 957 Evers Street Ext, Bridgeport, CT 06610-1261 | 2017-12-01 |
| 1073027322 | Cristine Connor | Social Worker | 154 Glenbrook Rd, Bridgeport, CT 06610-1149 | 2017-11-23 |
| 1194247916 | Jessica M. Maddern | Social Worker | 1558 Barnum Avenue, Building C, Bridgeport, CT 06610 | 2017-07-13 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06604 |
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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.