MS. JACQUELINE KATHLEEN WILSON (NPI# 1750667804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750667804 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE KATHLEEN WILSON |
| Credential | LMSW-CC |
| Practice Address |
72 Winthrop St Augusta ME 04330-5500 |
| Practice Telephone | 2076263455 |
| Practice Fax Number | 2076267586 |
| Mailing Telephone | 2076263455 |
| Mailing Fax Number | 2076267586 |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2013-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
MC13106 | ME | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687791 | Jacqueline Latia Wilson | Nurse Practitioner | 225 N Clifton Ave, Louisville, KY 40206-2496 | 2019-09-08 |
| 1790186393 | Jacqueline Wilson | Nurse Practitioner | 1101 Highway 76 Ste A, Clarksville, TN 37043-2420 | 2014-09-15 |
| 1295022622 | Jacqueline A. Wilson | Contractor | 12257 Middlebrook Sq, San Diego, CA 92128-3759 | 2011-07-06 |
| 1225244692 | Jacqueline Golden Wilson | Occupational Therapist | 15115 Eastview Dr, Upperco, MD 21155-9746 | 2007-05-15 |
| 1942373212 | Jacqueline Wilson | Counselor | 6 Cabot Pl Ste 6, Stoughton, MA 02072-4625 | 2006-11-16 |
| 1154951556 | Jacqueline Anne Wilson | Nurse Practitioner | 640 S 19th St Ste 100, Nevada, IA 50201-2902 | 2020-01-24 |
| 1457909830 | Jacqueline Lois Reagor Wilson | Speech-Language Pathologist | 9285 Medical Plaza Dr, Charleston, SC 29406-9126 | 2019-08-29 |
| 1245735943 | Jacqueline Wilson | Nurse Practitioner | 284 Highway 641 N, Camden, TN 38320-1350 | 2018-03-26 |
| 1457852014 | Jacqueline Wilson | Social Worker | 2219 Claiborne Ave, Shreveport, LA 71103-4301 | 2018-02-27 |
| 1801348636 | Jacqueline Sue Wilson | Physical Therapist | 901 N Porter Ave, Norman, OK 73071-6404 | 2016-10-27 |
| Street Address |
72 WINTHROP ST |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083652077 | Beth Anne Pochopien | Occupational Therapist | 72 Winthrop St, Augusta, ME 04330-5500 | 2006-06-03 |
| 1598380313 | Hilary Spear | Massage Therapist | 72 Winthrop St, Augusta, ME 04330-5500 | 2020-06-09 |
| 1649321605 | Holly Lynn Mcmahon | Social Worker | 72 Winthrop St, Augusta, ME 04330-5500 | 2007-01-16 |
| 1477617793 | Antoinette Carla Ervin | Social Worker | 72 Winthrop St, Augusta, ME 04330-5500 | 2006-12-21 |
| 1770647034 | Laurie Ann Connelly | Social Worker | 72 Winthrop St, Augusta, ME 04330-5500 | 2006-12-21 |
| 1477617736 | Holly Duncan Hunt Griffin | Social Worker | 72 Winthrop St, Augusta, ME 04330-5500 | 2006-12-21 |
| 1699839175 | Melanie Robin Lamore | Social Worker | 72 Winthrop St, Augusta, ME 04330-5500 | 2006-12-20 |
| 1649330556 | Jeffrey A Janell | Social Worker | 72 Winthrop St, Augusta, ME 04330-5500 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| 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 |
|---|---|---|---|---|
| 1043843097 | Jaquay Robinson | Social Worker | 4389 W Maysfield Dr Ste 100, Augusta, GA 30909-9648 | 2020-02-18 |
| 1023640570 | Sara Mae Mcgrane | Social Worker | 1 Va Ctr Unit 63, Augusta, ME 04330-6719 | 2020-02-12 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1003479072 | Edward P Walsh | Social Worker | 1 Va Center Dr, Mhc, Augusta, ME 04239 | 2019-04-16 |
| 1205394160 | Natalie Bryan, Lcsw L.L.C. | Social Worker | 104 Greene St, Augusta, GA 30901-1609 | 2019-03-08 |
| 1669943833 | Meredith E Mccabe | Social Worker | 12 Shuman Ave Ste 8, Augusta, ME 04330-6020 | 2018-12-16 |
| 1629544218 | Rebecca Anne Cornell Du Houx | Social Worker | 96 Albee Rd, Augusta, ME 04330-8530 | 2018-10-22 |
| 1295265569 | Ashley Elizabeth Osborne | Social Worker | 2050 Walton Way Ste 100, Augusta, GA 30904-2305 | 2017-06-19 |
| 1548703630 | Andrew Levine | Social Worker | 1206 Anthony Rd, Augusta, GA 30904-4402 | 2016-11-22 |
| 1790157931 | Vicki Bailey | Social Worker | 322 Indian Trl, Augusta, GA 30907-3796 | 2015-10-27 |
| Find all providers in AUGUSTA | ||||
Please comment or provide details below to improve the information on MS. JACQUELINE KATHLEEN WILSON.
| 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.