MS. JANICE W WILLIS (NPI# 1760499735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760499735 |
| Entity Type | Individual |
| Full Name | MS. JANICE W WILLIS |
| Credential | LCSW |
| Practice Address |
106 Shoppers Way Ste 115 Brunswick GA 31525-0522 |
| Practice Telephone | 9122657660 |
| Practice Fax Number | 9122657858 |
| Mailing Telephone | 9122657660 |
| Mailing Fax Number | 9122657858 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2018-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW001503 | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000796122G | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912321415 | Janice Willis | Social Worker | 8737 Brooks Dr Ste 103, Easton, MD 21601-7474 | 2014-02-05 |
| 1396045928 | Janice Lorraine Willis | Nurse Practitioner | 8324 Gulf Freeway, Houston, TX 77017-4502 | 2010-10-29 |
| 1245650167 | Janice Willis | Pharmacist | 605 Saint James Ave, Goose Creek, SC 29445-2758 | 2014-04-17 |
| 1568645414 | Janice Elaine Willis | Counselor | 111 19th Ave, Moline, IL 61265-3754 | 2007-12-14 |
| Street Address |
106 SHOPPERS WAY STE 115 |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31525-0522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861460313 | Jay William Floyd | Family Medicine | 106 Shoppers Way, Suite 1, Brunswick, GA 31525-0530 | 2006-03-10 |
| 1790319028 | Jerry Mccomis | Nurse Practitioner | 106 Shoppers Way, Brunswick, GA 31525-0530 | 2020-02-25 |
| 1609298751 | Coastal Community Health Services Inc | Clinic/Center | 106 Shoppers Way, Suite 1, Brunswick, GA 31525-0530 | 2014-01-08 |
| 1225364599 | Laura Hayley Veal | Nurse Practitioner | 106 Shoppers Way, Suite 1, Brunswick, GA 31525-0530 | 2009-10-21 |
| 1982737748 | Coastal Physical Therapy Inc | Physical Therapist | 106 Shoppers Way, Ste G, Brunswick, GA 31525 | 2007-03-13 |
| 1760526362 | Robert N Chapman Sr. | Optometrist | 106 Shoppers Way, Suite F, Brunswick, GA 31525 | 2007-02-16 |
| 1205905676 | The Sleep Professionals, Inc. | Specialist/Technologist, Other | 106 Shoppers Way, Suite G-2, Brunswick, GA 31525 | 2006-11-07 |
| 1013092477 | Clyde Wesley Herndon | Physical Therapist | 106 Shoppers Way, Ste G, Brunswick, GA 31525 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905990 | Jonathon Wesley Capps | Physician Assistant | 1111 Glynco Pkwy Bldg 1, Ste 10, Brunswick, GA 31525 | 2018-06-14 |
| 1366993628 | Hands Down Muscle Restoration, Inc | Homeopath | 1212 Chapel Crossing Road, Brunswick, GA 31525 | 2016-10-20 |
| 1619424173 | Jebediah S Christy Dds - Brunswick Pllc | Dentist | 11455 Canal Crossing, Brunswick, GA 31525 | 2016-09-01 |
| 1831545508 | Heller Family Medicine, LLC | General Practice | 208 Scranton Connector Ste 120, Brunswick, GA 31525 | 2016-05-11 |
| 1437525391 | Natisha Danielle Hill | Occupational Therapy Assistant | 138 Wingefield Commons Drive, Brunswick, GA 31525 | 2015-08-14 |
| 1811269632 | Solar Family Practice | Family Medicine | 122 Scranton Connector, Suite 112, Brunswick, GA 31525 | 2012-02-09 |
| 1700187895 | Chetan Patel | Pharmacist | 12 Woodfall Ct, Brunswick, GA 31525 | 2010-11-05 |
| 1194914275 | Dialysis of Golden Isles, LLC | Clinic/Center | 475 Gateway Center Blvd, Brunswick, GA 31525 | 2007-10-15 |
| 1902939325 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Frazier Street, Brunswick, GA 31525 | 2007-03-14 |
| 1609909498 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 115 Frazier Road, Brunswick, GA 31525 | 2007-03-13 |
| Find all providers in zip 31525 | ||||
| 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 |
|---|---|---|---|---|
| 1528697216 | Emily Barb | Social Worker | 1216 Younkins Dr, Brunswick, MD 21716-9752 | 2020-04-03 |
| 1801387295 | Allyson Christianson | Social Worker | 1115 Sycamore Ave, Brunswick, GA 31520-7440 | 2018-05-22 |
| 1811406440 | Lauren Burleigh | Social Worker | 6 Federal St, Brunswick, ME 04011-1508 | 2017-09-27 |
| 1699222828 | Laura Young | Social Worker | 62 Pegasus St Ste 300, Brunswick, ME 04011-5028 | 2016-09-06 |
| 1427414721 | Katherine Moeller | Social Worker | 54 Cumberland St Ste 4, Brunswick, ME 04011-1829 | 2016-01-04 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1396096533 | Katrina Renee Chisholm | Social Worker | 1 Youth Estate Dr, Brunswick, GA 31525-7206 | 2012-09-27 |
| 1417210105 | Justin C Trozzi | Social Worker | 37 Mill St # 7, Brunswick, ME 04011-1914 | 2012-06-19 |
| 1073873725 | N. Katherine Webb, Inc. | Social Worker | 502 1/2 Gloucester Street, Suite #3, Brunswick, GA 31520-7021 | 2012-05-29 |
| Find all providers in BRUNSWICK | ||||
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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.