Wilson-Sigrest, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C5370 Issued in MS

Legal business name

WILSON-SIGREST, LLC

Practice address

357 Towne Center Blvd.
Suite 203
Ridgeland, MS 39157

Phone

(601) 398-5436

NPI assigned

Nov 7, 2012

Organization subpart

No

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

Authorized official

Name

Jennifer Sigrest, MS

Title

Member Manager

Phone

(601) 398-5436

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1508110917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HILLCREST DR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564309",
            "telephone_number": "601-398-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 TOWNE CENTER BLVD.",
            "address_2": "SUITE 203",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "39157",
            "telephone_number": "601-398-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON-SIGREST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "SIGREST",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "601-398-5436",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "LPC 0557",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C5370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Willis-Ridgeway
• Bethany A. Willis, DPT
• Kimberly Renee Willis, PT
• Shanihia Willis
• Elizabeth Ryan Wilmesherr
• Catrina Lynette Wilson, PMPNP
• David Michael Wilson
• Kenneth Wade Wilson, COTA-L
• Vaunasha Lautrice Wilson, OT
• Yolanda W Wilson, M. D.

• Clinical Social Worker in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.