Jennifer Wilson

Primary specialty

Social WorkerTaxonomy code 104100000X

License

11006 Issued in MN

Practice address

2230 Como Ave
Saint Paul, MN 55108-1720

Phone

(651) 635-0095

NPI assigned

Jul 10, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children'S Home Society & Family Services

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1588715304
  NPD (past)
• Familymeans

  • Mental Health Counselor
  • Stillwater, MN
  • NPI 1881690899
  NPD (past)
• LHC Consulting, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Paul, MN
  • NPI 1851759088
  NPD (past)
• Psychology of Health

  • Adult Mental Health Clinic/Center
  • Saint Paul, MN
  • NPI 1295250215
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1003070970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 EUSTIS ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081219",
            "telephone_number": "651-646-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 COMO AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081720",
            "telephone_number": "651-635-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "11006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devolia Wilson-Johnson
• Albert Graham Wilson IV, LPC
• Clifford Wilson, D.C.
• Estefania Wilson
• Jamie Irene Wilson, RN
• Joseph Samuel Wilson, CRNA
• Joycelyn Ampon Wilson, CRNA
• Maja Wilson, LAT, ATC
• Meghan Wilson, LPCC
• Michael Damian Wilson, MSW, ACSW, LICSW

• Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.