MR. DANIEL GREGORY WILSON (NPI# 1801855929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801855929 |
| Entity Type | Individual |
| Full Name | MR. DANIEL GREGORY WILSON |
| Credential | LICSW |
| Practice Address |
603 Bruce St Crookston MN 56716-0603 |
| Mailing Address |
603 Bruce St Po Box 603 Crookston MN 56716-0603 |
| Practice Telephone | 2182813940 |
| Practice Fax Number | 2182816261 |
| Mailing Telephone | 2182813940 |
| Mailing Fax Number | 2182816261 |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
08306 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS BHSI | 68157WI | 01 |
| UBH | 6220746 | 01 | |
| UCARE | 116592 | 01 | |
| ND | BCBS OF ND | 19971 | 01 |
| HEALTH PARTNERS | HP23833 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316504210 | Daniel Wilson | Behavioral Analyst | 10260 Washington St Apt 1327, Thornton, CO 80229-2063 | 2019-05-26 |
| 1760863492 | Daniel James Wilson | Pharmacist | 7 Williams Bros Dr, Washington, IN 47501-4535 | 2015-06-18 |
| 1144550518 | Daniel Lavelle Wilson | Counselor | Csh Wellness & Recovery, 7171 Bowling Dr. Ste 300, Sacramento, CA 95823 | 2010-01-07 |
| 1992820328 | Daniel Edwin Wilson | Dentist | 16703 Se Mcgillivray Blvd Ste 100, Vancouver, WA 98683-3418 | 2007-03-21 |
| 1174674659 | Daniel Eugene Wilson | Speech-Language Pathologist | 75 Liberty Ave, #a20, Jersey City, NJ 07306-5029 | 2007-01-13 |
| 1700977592 | Daniel Wayne Wilson | Family Medicine | 109 Mount Wood Rd, Wheeling, WV 26003-2632 | 2006-09-27 |
| 1063488468 | Daniel W. Wilson | Social Worker | 2000 P St Nw, Suite 412, Washington, DC 20036-5915 | 2006-02-24 |
| 1831160332 | Daniel G Wilson | Physician Assistant | 1821 Blanding Blvd, Suite 1, Middleburg, FL 32068-3839 | 2006-02-01 |
| 1093335358 | Daniel Wilson | Occupational Therapy Assistant | 3800 Eli Pl, Newburgh, IN 47630-7436 | 2020-04-16 |
| 1497250724 | Daniel Wilson | Student in an Organized Health Care Education/Training Program | 155 N Fresno St, Fresno, CA 93701-2302 | 2018-03-28 |
| Street Address |
603 BRUCE ST |
| City | CROOKSTON |
| State | MN |
| Zip Code | 56716-0603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508835133 | Northwestern Mental Health Center | Clinic/Center | 603 Bruce St, Crookston, MN 56716 | 2006-03-16 |
| 1538787841 | Justine Danielle John | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2020-07-13 |
| 1891341319 | Elizabeth Ann Murphy | Nurse Practitioner | 603 Bruce St, Crookston, MN 56716-2914 | 2019-08-12 |
| 1902369275 | Janelle Bernice Artmann | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2019-04-12 |
| 1770047367 | Mandy Leeann Lundby | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2019-01-28 |
| 1184191066 | Valerie Wagner | Counselor | 603 Bruce St, Crookston, MN 56716-2914 | 2018-10-29 |
| 1245711720 | Lindsey Young | Counselor | 603 Bruce St, Crookston, MN 56716-2914 | 2018-08-23 |
| 1912483397 | Amber Dawn Deere | Nurse Practitioner | 603 Bruce St, Crookston, MN 56716-2914 | 2018-07-18 |
| 1336664614 | Matthew Ryan Keller | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2017-08-08 |
| 1265953053 | Martina Mlikota | Counselor | 603 Bruce St, Crookston, MN 56716-2914 | 2017-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942789912 | Savannah Danielle Miller | Pharmacist | 323 S Minnesota Street, Crookston, MN 56716 | 2018-08-10 |
| 1902037377 | David Fernando Frugone Larrea | Internal Medicine | 400 South Minnesota Street, Crookston, MN 56716 | 2009-08-04 |
| 1831327964 | Andres O Makarem | Internal Medicine | 400 S. Minnesota Ave, Crookston, MN 56716 | 2009-06-26 |
| 1255498564 | Ind School District 593 | Local Education Agency (LEA) | 402 Fisher Ave, Crookston, MN 56716 | 2007-01-03 |
| 1821109422 | Marla Rae Love | Dietitian, Registered | 400 S Minnesota Street, Crookston, MN 56716 | 2006-08-31 |
| 1215932728 | Villa St. Vincent | Skilled Nursing Facility | 516 Walsh St, Crookston, MN 56716 | 2005-06-21 |
| 1740769090 | Christine Jane Loff | Physical Therapist | 323 S Minnesota St, Crookston, MN 56716 | 2018-08-08 |
| 1336594449 | Lesmeister Dental LLC | Dentist | 1726 University Ave, Crookston, MN 56716 | 2016-04-26 |
| 1700271012 | Maneesh C. Kanal | Internal Medicine | 323 S Minnesota St, Crookston, MN 56716 | 2015-04-02 |
| 1114270550 | William T Erickson | Dentist | 1726 University Ave, Crookston, MN 56716 | 2012-10-23 |
| Find all providers in zip 56716 | ||||
| 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 |
|---|---|---|---|---|
| 1720339674 | Lloyd Francis Henderson | Social Worker | 100 Gretchen Ln, Crookston, MN 56716-2602 | 2012-10-01 |
| 1538787841 | Justine Danielle John | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2020-07-13 |
| 1902369275 | Janelle Bernice Artmann | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2019-04-12 |
| 1770047367 | Mandy Leeann Lundby | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2019-01-28 |
| 1336664614 | Matthew Ryan Keller | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2017-08-08 |
| 1134574726 | Angela Marie Carlson | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2016-05-02 |
| 1346613304 | Janelle Lynn Doyle | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2015-11-12 |
| 1770995052 | Sherry Murphy | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2014-05-21 |
| 1740609957 | Annie Olson | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2014-04-15 |
| 1366860041 | Richard Eugene Mosher | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2014-03-31 |
| Find all providers in CROOKSTON | ||||
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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.