CAROLYN I WILSON (NPI# 1932505104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932505104 |
| Entity Type | Individual |
| Full Name | CAROLYN I WILSON |
| Credential | LCSW, MSW |
| Practice Address |
1025 Pennock Pl Ste 107 Fort Collins CO 80524-3257 |
| Mailing Address |
4856 Innovation Dr Ste B Fort Collins CO 80525-5540 |
| Practice Telephone | 9704944200 |
| Mailing Telephone | 9704944200 |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2019-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ACD.0001031 | CO | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW.09923664 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619435518 | Carolyn Lorraine Wilson | Registered Nurse | 349 Nw 30th Ave, Ft Lauderdale, FL 33311-8427 | 2019-03-10 |
| 1467942276 | Carolyn Wilson | Behavioral Analyst | 4519 Greenfield Dr, Cookeville, TN 38501-9480 | 2018-05-16 |
| 1942726310 | Carolyn Wilson | Behavior Technician | 11373 S Us Highway 27, Dewitt, MI 48820-7412 | 2017-08-17 |
| 1417189051 | Carolyn Wilson | Student in an Organized Health Care Education/Training Program | 331 Gladstone St, Philadelphia, PA 19148-3914 | 2009-08-16 |
| 1760664221 | Carolyn Tarver Wilson | Social Worker | 621 Wren Ave, Frankfort, KY 40601-3835 | 2007-11-27 |
| 1861680936 | Carolyn Freeman Wilson | Social Worker | 501 Nw 78th Way, Plantation, FL 33324-1437 | 2007-10-13 |
| 1598983454 | Carolyn Ziegler Wilson | Psychiatry & Neurology | 2960 Piedmont Ave, Berkeley, CA 94705-2344 | 2007-04-23 |
| 1720127087 | Carolyn Fern Wilson | Dentist | 3219 Macarthur, # 100, Irving, TX 75062 | 2007-02-05 |
| 1720159056 | Carolyn S. Wilson | Obstetrics & Gynecology | 2955 Ivy Rd Ste 104, Charlottesville, VA 22903-9353 | 2006-11-10 |
| 1053324293 | Carolyn Alice Wilson | Internal Medicine | 304 Hancock St, Bangor Va Clinic, Bangor, ME 04401 | 2006-08-15 |
| Street Address |
1025 PENNOCK PL STE 107 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524-3257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033279948 | Enny Ortecho | Counselor | 1025 Pennock Pl Ste 107, Fort Collins, CO 80524-3257 | 2006-12-11 |
| 1023476017 | Summitstone Health Partners | Clinic/Center | 1025 Pennock Pl Ste 107, Fort Collins, CO 80524-3257 | 2016-02-04 |
| 1841663002 | Aaron J Hill | Counselor | 1025 Pennock Pl Ste 107, Fort Collins, CO 80524-3257 | 2015-11-09 |
| 1841606787 | Bruce D Hinkley | Case Manager/Care Coordinator | 1025 Pennock Pl Ste 107, Fort Collins, CO 80524-3257 | 2014-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
| 1215561857 | Transform The Nest LLC | Social Worker | 405 A Matthews Street, Fort Collins, CO 80524 | 2020-02-22 |
| 1326671413 | Laura Ann Doyle | Registered Nurse | 8775 County Road 80.5 # 5, Fort Collins, CO 80524 | 2020-02-17 |
| 1013496835 | Stepheny Nicol Chapple | Psychologist | 701 S College Drive, 201, Fort Collins, CO 80524 | 2018-08-13 |
| 1609372432 | Tracy Jo Close | Counselor | 1031 Robinson Street, Fort Collins, CO 80524 | 2018-04-02 |
| 1831617828 | Rachel Elizabeth Brenner | Counselor | 151 W Lake Rd, Csu Health Network Counseling Services, Fort Collins, CO 80524 | 2017-08-30 |
| 1205366820 | Victoria Marie Sechser | Specialist/Technologist | 1102 Peterson St, Fort Collins, MN 80524 | 2017-06-15 |
| 1013367705 | Smith Street LLC | Day Training, Developmentally Disabled Services | 308 Smith St., Fort Collins, CO 80524 | 2016-06-14 |
| 1811344989 | Ignite Speech-language Services | Clinic/Center | 3921 Celtic Lane, Fort Collins, CO 80524 | 2016-05-18 |
| Find all providers in zip 80524 | ||||
| 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 |
|---|---|---|---|---|
| 1144821364 | Faith Nielsen | Social Worker | 812 Mcgraw Dr, Fort Collins, CO 80526-3977 | 2020-11-04 |
| 1073112223 | Sarah Laub | Social Worker | 2620 Red Fox Ct, Fort Collins, CO 80526-5285 | 2020-10-20 |
| 1427661164 | Nicholas Boeder - Lcsw | Social Worker | 3921 Bingham Hill Rd, Fort Collins, CO 80521-1025 | 2020-08-24 |
| 1629680202 | Amber Kelly Franzel | Social Worker | 1501 Blue Spruce Dr, Fort Collins, CO 80524-2004 | 2020-08-17 |
| 1215561857 | Transform The Nest LLC | Social Worker | 405 A Matthews Street, Fort Collins, CO 80524 | 2020-02-22 |
| 1376176099 | Cassie Marie Cyr | Social Worker | 1523 Silvergate Rd, Fort Collins, CO 80526-3302 | 2020-02-21 |
| 1659927309 | Ann Robinson | Social Worker | 2431 Cheviot Dr, Fort Collins, CO 80526-1479 | 2019-08-16 |
| 1013475748 | A Life Empowered, LLC | Social Worker | 612 Powderhorn Dr, Fort Collins, CO 80526-2607 | 2019-03-12 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1447733266 | Jessica R Mady | Social Worker | 418 Dunne Dr, Fort Collins, CO 80525-5847 | 2018-09-07 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80524 |
Please comment or provide details below to improve the information on CAROLYN I 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.