PEACHES WILSON (NPI# 1881050615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881050615 |
| Entity Type | Individual |
| Full Name | PEACHES WILSON |
| Practice Address |
19801 Observation Dr Germantown MD 20876-4070 |
| Mailing Address |
8308 Mccullough Ln Apt 303 Gaithersburg MD 20877-1125 |
| Practice Telephone | 3015576000 |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2016-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
16535 | MD | Behavioral Health & Social Service Providers |
| Street Address |
19801 OBSERVATION DR |
| City | GERMANTOWN |
| State | MD |
| Zip Code | 20876-4070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295711547 | Joshua L Heller | Emergency Medicine | 19801 Observation Dr, Emergency Dept, Germantown, MD 20876-4070 | 2005-12-19 |
| 1639788839 | Julie Diana Carmen | Social Worker | 19801 Observation Dr, Germantown, MD 20876-4070 | 2020-07-24 |
| 1235775156 | Abra Awoume | Nurse Practitioner | 19801 Observation Dr, Germantown, MD 20876-4070 | 2019-11-26 |
| 1114499365 | Philip Bobrowsky | Dietitian, Registered | 19801 Observation Dr, Germantown, MD 20876-4070 | 2018-12-28 |
| 1568963114 | Jennifer Busbey | Registered Nurse | 19801 Observation Dr, Germantown, MD 20876-4070 | 2018-02-27 |
| 1144758483 | Imelda Eyi Feludu | Counselor | 19801 Observation Dr, Germantown, MD 20876-4070 | 2017-05-31 |
| 1013388537 | Joann Ordaz | Nurse Practitioner | 19801 Observation Dr, Germantown, MD 20876-4070 | 2015-10-09 |
| 1770969131 | Ashley B Tolliver | Physician Assistant | 19801 Observation Dr, Germantown, MD 20876-4070 | 2015-08-07 |
| 1528466653 | Carey Riordan | Social Worker | 19801 Observation Dr, Germantown, MD 20876-4070 | 2014-12-05 |
| 1588064547 | Pathology Associates of Silver Spring, LLC | Pathology | 19801 Observation Dr, Germantown, MD 20876-4070 | 2014-08-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285296913 | Mary Furda | Physician Assistant | 20680 Seneca Meadows Pkwy Ste 206, Germantown, MD 20876 | 2019-07-02 |
| 1003379819 | Pamela Denise Murphy | Counselor | 11480 Scenery Place, Germantown, MD 20876 | 2019-04-09 |
| 1629595061 | Teresa Francisco | Home Health Aide | 1 Yellow Leaf Ct, Germatown, MD 20876 | 2017-08-25 |
| 1679943559 | Aurora Equipment Supply | Durable Medical Equipment & Medical Supplies | 11712 Doxdam Terrace, Germantown, MD 20876 | 2015-10-05 |
| 1134500564 | The Blue Door Pharmacy, LLC | Pharmacy | 19851 Observation Drive, Germantown, MD 20876 | 2015-06-11 |
| 1730570003 | Smart Pain Surgery Center At Germantown, LLC | Clinic/Center | 19851 Observation Dr., Suite 350, Germantown, MD 20876 | 2015-02-09 |
| 1902296668 | Ci-wun Huang | Pharmacy Technician | 20908 Frederick Road, Germantown, MD 20876 | 2015-02-02 |
| 1184025322 | Robert Shirley | Physical Therapist | 20500 Seneca Meadows Parkway, Germantown, MD 20876 | 2014-09-08 |
| 1285067108 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 19851 Observation Dr, Suite 450, Germantown, MD 20876 | 2013-08-14 |
| 1639430200 | Sandrine Claire Mbouyo | Home Health Aide | 11102 Cedaiblugg Ln, Germantown, MD 20876 | 2012-05-31 |
| Find all providers in zip 20876 | ||||
| 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 |
|---|---|---|---|---|
| 1962029066 | Ingrid Gooch | Social Worker | 14045 Esworthy Rd, Germantown, MD 20874-3311 | 2020-07-06 |
| 1558988105 | Rosa Barrientos | Social Worker | 19805 Executive Park Cir Ste 29, Germantown, MD 20874-2649 | 2020-06-30 |
| 1427698323 | Kimberly Huff Dafferner | Social Worker | 2583 Turpins Glen Dr, Germantown, TN 38138-5820 | 2020-01-09 |
| 1043855869 | Kathleen Murray | Social Worker | 19805 Executive Park Cir Unit 29, Germantown, MD 20874-2649 | 2019-11-15 |
| 1982106977 | John Alan Metzger | Social Worker | 588 Church Avenue, Germantown, NY 12526 | 2018-03-06 |
| 1184122541 | Shelly Marie Casey | Social Worker | 14027 Gallop Ter, Germantown, MD 20874-6130 | 2018-01-31 |
| 1174036636 | Sean A. Hayes | Social Worker | 13243 Executive Park Ter, Germantown, MD 20874-2648 | 2017-11-07 |
| 1962912766 | Anne Bryan | Social Worker | 7690 Mchenry Cir S, Germantown, TN 38138-2238 | 2017-10-06 |
| 1669998506 | Tatiana Aviles Lcsw-c LLC Bilingual Counseling Services | Social Worker | 38 Cottage Field Ct, Germantown, MD 20874-6310 | 2017-08-22 |
| 1235654674 | Monica J Kraus | Social Worker | 13027 Woodcutter Cir, Germantown, MD 20876-6958 | 2017-08-07 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 20876 |
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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.