MS. KIMBERLY PATRICE WILSON (NPI# 1801220579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801220579 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY PATRICE WILSON |
| Practice Address |
205 North Liberty St Centreville MD 21617 |
| Mailing Address |
205 N Liberty St Centreville MD 21617-1022 |
| Practice Telephone | 4107581306 |
| Practice Fax Number | 4107582133 |
| Mailing Telephone | 4107581306 |
| Mailing Fax Number | 4107582133 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
TRAINEE | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465420 | Kimberly Frances Wilson | Doula | 6911 Deorsam Loop, Killeen, TX 76542-6377 | 2020-07-26 |
| 1689132250 | Kimberly Jo Wilson | Registered Nurse | 3765 King Rd, Saginaw, MI 48601-7146 | 2019-03-03 |
| 1265905038 | Kimberly Ann Wilson | Speech-Language Pathologist | 658 Lions Gate Ln, Odenton, MD 21113-1490 | 2019-01-04 |
| 1114462793 | Kimberly Wilson | Social Worker | 1820 T St Nw Apt 2, Washington, DC 20009-7144 | 2017-01-05 |
| 1841749439 | Kimberly Ann Wilson | Nurse Practitioner | 4333 S 172nd East Ave, Tulsa, OK 74134-7281 | 2016-09-24 |
| 1700246709 | Kimberly Moss Wilson | Counselor | 1116 E Ponce De Leon Ave, Decatur, GA 30030-2711 | 2016-03-03 |
| 1427451939 | Kimberly Wilson | Occupational Therapist | 6608 Covington Cv, Canfield, OH 44406-8161 | 2014-09-29 |
| 1083036701 | Kimberly Wilson | Social Worker | 6210 Belcrest Rd Apt 1228, Hyattsville, MD 20782-2967 | 2014-01-15 |
| 1164795704 | Kimberly Renee Wilson | Speech-Language Pathologist | 107 S Keswick Ave, Glenside, PA 19038-4509 | 2012-02-13 |
| 1225300361 | Kimberly S Wilson | Case Manager/Care Coordinator | 12913 Condor Dr, Oklahoma City, OK 73170-5423 | 2012-02-06 |
| Street Address |
205 NORTH LIBERTY ST |
| City | CENTREVILLE |
| State | MD |
| Zip Code | 21617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518322445 | Marianna Edmonston | Occupational Therapy Assistant | 205 Armstrong St., Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2015-12-18 |
| 1881089084 | Michelle Katherine Priddy | Specialist/Technologist | 125 Ruthsburg Rd., Centreville, MD 21617 | 2015-04-03 |
| 1588940787 | Angela Renee Sommer | Speech-Language Pathologist | 205 Armstrong Street, Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2011-11-01 |
| 1497067144 | Alison Lynn Mccuen | Speech-Language Pathologist | 175 Ashland Drive, Centreville, MD 21617 | 2010-07-10 |
| 1427269406 | Hospice of Queen Anne's Inc. | Hospice Care, Community Based | 255 Comet Drive, Centreville, MD 21617 | 2007-05-24 |
| 1093921470 | Lillian Sheehan | Social Worker | 152 Courseval Drive, Ste 142, Centreville, MD 21617 | 2007-05-15 |
| 1184723942 | Centreville Drugs Inc | Durable Medical Equipment & Medical Supplies | 102 Commerce Street, Centreville, MD 21617 | 2006-09-21 |
| 1114022670 | James J Lucas | Dentist | 134 Coursevall Drive, Centerville, MD 21617 | 2006-09-13 |
| 1730129370 | Joseph C Titus | Social Worker | 120 Banjo Lane, Centreville, MD 21617 | 2006-06-08 |
| 1053706382 | Gurpreet Saini | Internal Medicine | 2540 Centreville Rd, Centreville, MD 21617 | 2015-04-02 |
| Find all providers in zip 21617 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679514681 | Charlotte F Pierce | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2006-06-09 |
| 1275167223 | Anne Arundel Counseling, Inc. | Counselor | 633 Railroad Ave, Centreville, MD 21617-1144 | 2020-02-28 |
| 1033695028 | Ashley Hall | Counselor | 120 Banjo Ln, Centreville, MD 21617-1002 | 2018-07-13 |
| 1174025498 | Kendall Rose Savage | Counselor | 202 Coursevall Dr Ste 104, Centreville, MD 21617-2805 | 2018-03-02 |
| 1922406040 | Sarah Brianne Baldridge | Counselor | 677 E Main St, Suite A, Centreville, MI 49032-8524 | 2014-12-06 |
| 1134558075 | Leslie Dee Pitts | Counselor | 677 E Main St Ste A, Centreville, MI 49032-8525 | 2013-11-01 |
| 1467880450 | Ann Louise Gilpin | Counselor | 677 E. Main St., Centreville, MI 49032 | 2013-10-29 |
| 1932408242 | Elizabeth Bohaker | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2011-03-25 |
| 1518266816 | Jeffrey J Holloway | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2011-03-25 |
| 1942509245 | Maggie J Terzaghi | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2011-03-25 |
| Find all providers in CENTREVILLE | ||||
| City | CENTREVILLE |
| Zip Code | 21617 |
Please comment or provide details below to improve the information on MS. KIMBERLY PATRICE 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.