Wisdom Solutions of the Csra, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CSW005228 Issued in GA

Legal business name

WISDOM SOLUTIONS OF THE CSRA, LLC

Practice address

3711 Executive Center Dr
Suite 101
Martinez, GA 30907-0951

Phone

(706) 592-8424

Fax

(706) 269-2966

NPI assigned

Feb 4, 2016

Organization subpart

No

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

Authorized official

Name

Tamara Augustin Noel, LCSWNPI 1073844676

Title

Ceo/Clinical Director

Phone

(706) 592-8424

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tamara Augustin Noel, LCSW

  • Clinical Social Worker
  • Augusta, GA
  • NPI 1073844676
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1487012530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 EXECUTIVE CENTER DR",
            "address_2": "SUITE 101",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309070951",
            "telephone_number": "706-592-8424",
            "fax_number": "706-269-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 EXECUTIVE CENTER DR",
            "address_2": "SUITE 101",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309070951",
            "telephone_number": "706-592-8424",
            "fax_number": "706-269-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM SOLUTIONS OF THE CSRA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "NOEL",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "AUGUSTIN",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "706-592-8424",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CSW005228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003157541A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrienne S Wilson, LPC
• Ja'Nicia I. Wilson, MSW
• John Wilson Sr.
• Shatisha Matrice Wilson, MS, LPC, RPT-S, ACS
• Steven Lamar Wilson, D.M.D.
• Katherine Wise
• Hannah Wiseman, COTA
• WM Dental Group LLC
• Judith L. Wolfe, LPC
• Mary Ann Wolverton, RBT

• Community/Behavioral Health Agency in Martinez, GA
• Providers in Martinez, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.