RANDELL WILSON (NPI# 1730260290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730260290 |
| Entity Type | Individual |
| Full Name | RANDELL WILSON |
| Credential | LCSW, LSCSW |
| Practice Address |
1534 Campbell St Kansas City MO 64108-1520 |
| Practice Telephone | 8164216670 |
| Mailing Telephone | 8164216670 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2013-05-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
2204 | KS | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2001027963 | MO | Behavioral Health & Social Service Providers |
| Street Address |
1534 CAMPBELL ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64108-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881838134 | Kansas City Community Center | Clinic/Center | 1534 Campbell St, Kansas City, MO 64108-1520 | 2009-04-29 |
| 1053587469 | Heartland Center for Behavioral Change | Clinic/Center | 1534 Campbell St, Kansas City, MO 64108-1520 | 2008-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194345561 | Diversity Telehealth, LLC | Health Educator | 1601 East 18th Street, 320a, Kansas City, MO 64108 | 2020-04-25 |
| 1447894092 | Claire-louise Sophia Young | Student in an Organized Health Care Education/Training Program | Truman Medical Center - Department of Pathology, 2301 Holmes, Kansas City, MO 64108 | 2019-11-06 |
| 1053962415 | Kymberly Kline | Behavior Technician | Riley Aba & Autism Center, 1936 Summit St, Kansas City, MO 64108 | 2019-09-26 |
| 1841854643 | Mallak Ahmed Ghozlan Zatreh | Student in an Organized Health Care Education/Training Program | 2301 Homes Street, Kansas City, MO 64108 | 2019-04-26 |
| 1003470881 | Sindhuja Palle | Internal Medicine | Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1467016253 | Osama Mahmoud Okasha | Internal Medicine | Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1730643719 | Michele D Smith | Registered Nurse | 2101 Charlotte Street, Urology, Kansas City, MO 64108 | 2019-01-24 |
| 1437640414 | Omar Fayez Ahmad Abuqamar | Student in an Organized Health Care Education/Training Program | Truman Medical Center, 2301 Holmes St., Dept. of Internal Medicine, Kansas City, MO 64108 | 2018-05-24 |
| 1992200190 | Hannah Rebekah Hurst | Student in an Organized Health Care Education/Training Program | 2101 Charlotte St Ste 200, Kansas City, MO 64108 | 2018-03-28 |
| 1659873404 | William Andrew Carroll | Chiropractor | 313 E. 17th St. #210, Kansas City, MO 64108 | 2018-03-07 |
| Find all providers in zip 64108 | ||||
| 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 |
|---|---|---|---|---|
| 1447850870 | Convergence Counseling Services, LLC | Social Worker | 7612 E 113th St, Kansas City, MO 64134-2946 | 2020-10-26 |
| 1336756949 | Megan Krystal Draper | Social Worker | 8425 Locust St, Kansas City, MO 64131-2223 | 2020-09-28 |
| 1114533411 | Cheryl Gunn Seidler | Social Worker | 7211nw 83rd Street Suite 350, Kansas City, MO 64152-6415 | 2020-09-22 |
| 1871106989 | Anne Mari Bethune | Social Worker | 1260 W 59th St, Kansas City, MO 64113-1149 | 2020-08-28 |
| 1922619154 | Alicia D Smith | Social Worker | 8816 E 110th St, Kansas City, MO 64134-3036 | 2020-08-11 |
| 1912523119 | Crystal Rose Reckker | Social Worker | 1204 Ne 85th Ter, Kansas City, MO 64155-2671 | 2020-06-23 |
| 1013530054 | Carol Thoma-perry | Social Worker | 516 E 66th Ter, Kansas City, MO 64131-1144 | 2020-05-26 |
| 1972125193 | Jena Fouraker | Social Worker | 1000 E 24th St Ste 2e, Kansas City, MO 64108-2776 | 2020-05-11 |
| 1568095354 | Thomas Counseling LLC | Social Worker | 3000 Ne Brooktree Ln Ste 230, Kansas City, MO 64119-1890 | 2020-02-19 |
| 1942856760 | Paola Maria Capra | Social Worker | 11509 Campbell St, Kansas City, MO 64131-3830 | 2019-08-16 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64108 |
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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.