MS. HEATHER DAWN WILSON (NPI# 1720187016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720187016 |
| Entity Type | Individual |
| Full Name | MS. HEATHER DAWN WILSON |
| Credential | LICSW |
| Practice Address |
200 Highway 2 W Devils Lake ND 58301-3532 |
| Mailing Address |
Po Box 650 Devils Lake ND 58301-0650 |
| Practice Telephone | 7091665220 |
| Practice Fax Number | 7016652300 |
| Mailing Telephone | 7016652200 |
| Mailing Fax Number | 7016652300 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2011-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
3819 | ND | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BCBS PIN | 27582 | 01 |
| ND | 054518 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811819 | Heather Wilson | Speech-Language Pathologist | 809 E 7th St, Dewey, OK 74029-2541 | 2020-01-28 |
| 1831731298 | Heather Jean Wilson | Registered Nurse | 305 S Wise St, Paton, IA 50217-7735 | 2019-10-16 |
| 1649821901 | Heather M Wilson | Nurse Practitioner | 2828 Bill Owens Pkwy Ste B, Longview, TX 75605-2102 | 2019-09-26 |
| 1588219844 | Heather Wilson | Dietitian, Registered | 14 Gayle St, Woburn, MA 01801-5307 | 2019-08-05 |
| 1255804522 | Heather Joy Wilson | Registered Nurse | 1001 Hadley Rd Ste 102, Mooresville, IN 46158-1884 | 2019-01-09 |
| 1972073534 | Heather Leigh Wilson | Technician, Pathology | 4271 South Lee Street Suite 101 & 102, Buford, GA 30518 | 2018-11-27 |
| 1164926952 | Heather Nicole Wilson | Counselor | 900 Harvey Ct, Columbus, OH 43219-2685 | 2018-03-19 |
| 1790218915 | Heather Wilson | Social Worker | 1416 Moring St, Raleigh, NC 27603-2350 | 2017-04-05 |
| 1174977797 | Heather Wilson | Nurse Practitioner | 2064 East South Blvd, Suite 204, Montgomery, AL 36116-2460 | 2016-04-20 |
| 1154689180 | Heather Wilson | Counselor | 5817 Hillcrest Ave, Dallas, TX 75205-2260 | 2012-04-27 |
| Street Address |
200 HIGHWAY 2 W |
| City | DEVILS LAKE |
| State | ND |
| Zip Code | 58301-3532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669411930 | Lake Region Human Service Center | Clinic/Center | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2006-06-05 |
| 1730722950 | Paige Nicole Dahlen | Case Manager/Care Coordinator | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2019-10-21 |
| 1548728629 | Michelle Marie Bazal | Counselor | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2019-03-07 |
| 1316440472 | Angela M Holtz | Social Worker | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2018-03-15 |
| 1083122717 | Megan Gean Clinton | Case Manager/Care Coordinator | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2018-01-16 |
| 1962910745 | Jane F Adams | Social Worker | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2018-01-16 |
| 1235657073 | James Michael Cole | Social Worker | 200 Highway 2 W, Devils Lake, ND 58301 | 2017-08-31 |
| 1033631296 | Tania R Lyon | Case Manager/Care Coordinator | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2017-07-10 |
| 1740701754 | Lake Region Human Service Center | Community/Behavioral Health | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2017-06-29 |
| 1295255446 | Jacklyn Jane Aasmundstad | Case Manager/Care Coordinator | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2017-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187977 | Mark Christian Beatty | Social Worker | 1820 East Walnut Street, Suite 5, Devils Lake, ND 58301 | 2020-06-01 |
| 1841837663 | Wayne Rance | Pharmacist | 323 5th St Ne Ste 2, Devils Lake, ND 58301 | 2019-12-01 |
| 1639427792 | Donna Rance | Pharmacist | Bell Pharmacy 323 5th St Ne, Suite #2, Devils Lake, ND 58301 | 2012-08-21 |
| 1356603997 | Stephanie Ann Foughty | Family Medicine | 1001 7th St Ne Altru Clinic/devlis Lake, Devils Lake, ND 58301 | 2012-06-11 |
| 1245534668 | Altru Specialty Services, Inc. | Durable Medical Equipment & Medical Supplies | 223 4th Avenue Northeast, Suite B, Devils Lake, ND 58301 | 2010-12-28 |
| 1780830208 | Steven L Pederson | Physical Therapist | 404 Fourth Street N, Devils Lake, ND 58301 | 2008-08-15 |
| 1437368768 | Leatha N Vaagen | Physical Therapist | 404 Fourth Street North, Devils Lake, ND 58301 | 2007-05-22 |
| 1770634479 | Becky Fletschock | Pharmacist | Clinic Pharmacy, 1001 7th St Ne, Devils Lake, ND 58301 | 2007-01-16 |
| 1518047570 | The Evangelical Lutheran Good Samaritan Society | Custodial Care Facility | 302 7th Ave, Devils Lake, ND 58301 | 2006-10-16 |
| 1679591929 | Emergency Ambulance of Devils Lake | Ambulance | 314 2nd Ave Se, Devils Lake, ND 58301 | 2006-07-17 |
| Find all providers in zip 58301 | ||||
| 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 |
|---|---|---|---|---|
| 1558731257 | A New Horizons Counseling Services LLC | Social Worker | 507 4th St Ne, Devils Lake, ND 58301-2501 | 2015-10-07 |
| 1619312568 | Lifewise Christian Counseling LLC | Social Worker | 501 3rd St Ne Ste 4, Devils Lake, ND 58301-3006 | 2013-05-06 |
| 1356552012 | Danny Whitehead | Social Worker | 211 4th St Ne, Ste 4, Devils Lake, ND 58301-2479 | 2007-05-24 |
| 1053352138 | Douglas Boknecht | Social Worker | 200 Highway 2w, Devils Lake, ND 58301-3532 | 2006-06-09 |
| 1215978481 | Janet Dobler | Social Worker | 400 12th Ave Ne, Suite D, Devils Lake, ND 58301-2709 | 2006-06-09 |
| 1326421090 | Lisa Shuster | Social Worker | 715 13th Ave Ne, Apt 307, Devils Lake, ND 58301-2300 | 2015-06-30 |
| 1881986180 | Nicole Lynn Erasmus | Social Worker | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2011-05-05 |
| 1679875991 | Jamie J Boe | Social Worker | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2010-11-18 |
| 1811206758 | Abby Kathryn Borchardt | Social Worker | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2010-09-27 |
| 1104089648 | Life Management Resources | Social Worker | 400 12th Ave Ne, Devils Lake, ND 58301-2712 | 2008-07-03 |
| Find all providers in DEVILS LAKE | ||||
| City | DEVILS LAKE |
| Zip Code | 58301 |
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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.