Jennifer Robinson-Wilson, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11424 Issued in SC

Practice address

403 Stoney Landing Road
Moncks Corner, SC 29461-3967

Phone

(843) 761-8282

Fax

(843) 761-7308

NPI assigned

Aug 25, 2015

Last updated

Jan 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Berkeley Community Mental Health Center

  • Exclusive Provider Organization
  • Moncks Corner, SC
  • NPI 1205065828
  NPD (past)
• South Carolina Dept of Mental Health Accounting Office

  dba Berkeley Community Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Moncks Corner, SC
  • NPI 1508811324
  NPD (past)

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1174990220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1030",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613967",
            "telephone_number": "843-761-8282",
            "fax_number": "843-761-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 STONEY LANDING ROAD",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613967",
            "telephone_number": "843-761-8282",
            "fax_number": "843-761-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON-WILSON",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "11424",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "11424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Rene Richardson, D.O.
• Harry E Ricker, MD
• River Landing Dentistry at Moncks Corner LLC
• Rebecca Robberson
• Juanita Duerkop Robbins, LISW, CP&AP
• Bernette Robinson
• Jo Ella Robinson, LCSW, LISW-CP
• Mandeesa O Robinson
• Mary Helen Robinson
• Rocky Mountain Holdings LLC (LifeNet South Carolina)

• Mental Health Counselor in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.