MR. MAURICE KEITH MADER (NPI# 1730429036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730429036 |
| Entity Type | Individual |
| Full Name | MR. MAURICE KEITH MADER |
| Credential | M.S.W., L.C.S.W. |
| Practice Address |
3850 North Wilderness Drive Wilson WY 83014-0240 |
| Mailing Address |
Po Box 240 Wilson WY 83014-0240 |
| Practice Telephone | 3077338210 |
| Practice Fax Number | 3077338462 |
| Mailing Telephone | 3077338210 |
| Mailing Fax Number | 3077338462 |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2013-02-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-291 | WY | Behavioral Health & Social Service Providers |
| Street Address |
3850 NORTH WILDERNESS DRIVE |
| City | WILSON |
| State | WY |
| Zip Code | 83014-0240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801159447 | Region V Boces | Residential Treatment Facility, Emotionally Disturbed Children | 3850 North Wilderness Drive, Wilson, WY 83014-0240 | 2012-06-19 |
| 1417295775 | Mayling Sumicad | Occupational Therapist | 3850 North Wilderness Drive, Wilson, WY 83025 | 2013-01-22 |
| 1831442201 | Region V Board of Cooperative Educational Services | Residential Treatment Facility, Emotionally Disturbed Children | 3850 North Wilderness Drive, Wilson, WY 83025 | 2012-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551633 | Keith Ryan Knudson | Physical Therapist | 1230 North Fall Creek Rd, Wilson, WY 83014 | 2020-09-03 |
| 1578121588 | Nina Clark Lex | Physical Therapist | 1230 N Fall Creek Rd, Wilson, WY 83014 | 2019-06-04 |
| 1659840403 | Hannah Lee Tripp | Dietitian, Registered | 1440 N West St., Wilson, WY 83014 | 2018-11-21 |
| 1902307952 | Joseph Anthony Sorge | Medical Genetics | 5320 Pine Meadow Road, Wilson, WY 83014 | 2018-02-26 |
| 1184174393 | Dean Woodmencey | Specialist | 4030 West Lake Creek Dr., Wilson, WY 83014 | 2016-10-12 |
| 1740657261 | Peter Moffatt | Counselor | 7905 South Fall Creek Road, Wilson, WY 83014 | 2015-09-01 |
| 1669722419 | Jeremy Silcox | Social Worker | 7905 Fall Creek Rd., Wilson, WY 83014 | 2012-09-19 |
| 1649533811 | Harriet Elizabeth Wardle | Social Worker | 3850 N Wilderness Dr, Wilson, WY 83014 | 2012-06-21 |
| 1205197043 | Laura Lea Perez | Psychologist | 3850 North Wilderness Dr., Wilson, WY 83014 | 2012-06-07 |
| 1306105689 | William Douglas Odell | Specialist | 5445 Cottonwood Canyon Road, Wilson, WY 83014 | 2012-05-08 |
| Find all providers in zip 83014 | ||||
| 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 |
|---|---|---|---|---|
| 1548804107 | Ashley Williams | Social Worker | 3611 Shadow Ridge Rd N, Wilson, NC 27896-8644 | 2019-11-06 |
| 1225670193 | Samantha Renee Freeman | Social Worker | 3406 Wetherly Dr N Apt B, Wilson, NC 27896-1290 | 2019-10-12 |
| 1679043244 | Madison Rose Propst | Social Worker | 2416 Bedgood, Wilson, NC 27893 | 2018-11-27 |
| 1952889107 | Greta Vanbree | Social Worker | 800 Raleigh Road Pkwy W, Wilson, NC 27893-2153 | 2018-07-31 |
| 1518450865 | Alysann Brooke Price | Social Worker | 5878 Farmwood Loop, Wilson, NC 27896 | 2018-06-12 |
| 1093205429 | Jannie Renee Engel | Social Worker | 3300 Blenheim Pl Nw, Wilson, NC 27896-9305 | 2018-05-10 |
| 1992292098 | Vanessa Anne Fabian | Social Worker | 7905 S. Fall Creek Rd, Wilson, WY 83014-0290 | 2018-04-16 |
| 1942721295 | Sandra Susan Blazek | Social Worker | 608 Nash Street Nw, Wilson, NC 27893 | 2017-06-27 |
| 1851845143 | Rhonda Renee Baker | Social Worker | 4336 Pine Tree Ct, Wilson, NC 27893-8590 | 2016-08-04 |
| 1487069449 | Heather Jo Ross | Social Worker | 2130 Forest Hills Rd W Ste A, Wilson, NC 27893-3681 | 2014-06-27 |
| Find all providers in WILSON | ||||
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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.