SUSAN MICHELLE WILSON


Address: 24 Champion Way, Pembroke, MA 02359-2637
Phone: 7812936613

SUSAN MICHELLE WILSON (NPI# 1972710861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972710861
Entity Type Individual
Full Name SUSAN MICHELLE WILSON
Credential LICSW
Practice Address 24 Champion Way
Pembroke
MA 02359-2637
Practice Telephone 7812936613
Mailing Telephone 7812936613
Enumeration Date 2007-05-17
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
107040 MA Behavioral Health & Social Service Providers

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1831559111 Susan Wilson Case Manager/Care Coordinator 24 Riverside Dr, Independence, VA 24348-3746 2016-03-01
1801284302 Susan Lynn Wilson Registered Nurse 2988 Moyer Ave, Norton, OH 44203 2015-01-06
1558766105 Susan Wilson Social Worker 318 Lake Marina Ave, 212, New Orleans, LA 70124-1600 2014-10-24
1366716854 Susan Elizabeth Wilson Midwife 5410 Hill Crest St, Russellville, MO 65074-1213 2012-02-29
1477888261 Susan Wilson Licensed Practical Nurse 17 E Haddon Ave, Oaklyn, NJ 08107-1308 2009-10-12

Office Location

Street Address 24 CHAMPION WAY
City PEMBROKE
State MA
Zip Code 02359-2637

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1669943452 Rachel Elizabeth Fletcher Counselor Pembroke Partial Hospital Program, 20 Winter Street, Pembroke, MA 02359 2018-12-06
1780116236 Annmarie Cummings Behavioral Analyst 15 Furnace Lane, Pembroke, MA 02359 2017-04-03
1558659680 Rachel S Cohen Social Worker 20 Winter Street, Pembroke, MA 02359 2011-07-11
1659552974 Kirsten Leah Evans Registered Nurse 7 Bartlett St, Pembroke, MA 02359 2007-11-15
1154516862 Timothy A Kaufman Physical Therapist 31 Schoosett Street, Suite 300, Pembroke, MA 02359 2007-09-06
1912128463 Mary A Marek Social Worker 2 Columibia Road, Pembroke, MA 02359 2007-05-01
1437287448 Frederick James White Jr. Dentist 19a Mattakeesett St, Pembroke, MA 02359 2007-03-01
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790034593 Mara D Hunt Social Worker 60 Commerce Plaza Cir, Pembroke, NC 28372-7386 2012-09-07
1770855389 Ryan Shirilla Social Worker 447 Deerpath Ln, Pembroke, NH 03275-3214 2012-01-30
1558659680 Rachel S Cohen Social Worker 20 Winter Street, Pembroke, MA 02359 2011-07-11
1083866628 Stacey Tywanna Hailey Social Worker 139 Three Hunts Dr, Pembroke, NC 28372-6800 2008-10-15
1790949907 Tammy Rocha Cetrino Social Worker 125 Church St Ste 90-104, Pembroke, MA 02359-1929 2008-07-16
1275717084 Elizabeth Zaccardi Social Worker 34 Mill St, Pembroke, MA 02359-3201 2007-12-28
1871705939 Recovery and Growth Counseling Social Worker 2 Columbia Road, Pembroke, MA 02360 2007-05-03
1912128463 Mary A Marek Social Worker 2 Columibia Road, Pembroke, MA 02359 2007-05-01
1265577258 Nicole Marie Macdonald Social Worker 122 Chapel St, Pembroke, MA 02359-3815 2007-02-20
1154431468 Janice Elaine Howard Social Worker 2 Columbia Rd Ste 8, Pembroke, MA 02359-1842 2006-08-30
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Competitor

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City PEMBROKE
Zip Code 02359

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Dataset Information

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.

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