Che Wilson, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2023035505 Issued in MO

Practice address

2701 W Edgewood Dr Ste 101
Jefferson City, MO 65109-5890

Phone

(573) 681-3249

NPI assigned

Sep 20, 2023

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

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1659159671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 SOUTHWEST BLVD APT A",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651092647",
            "telephone_number": "573-301-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W EDGEWOOD DR STE 101",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095890",
            "telephone_number": "573-681-3249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2505 Mission Dr",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "MO",
            "postal_code": "651099508",
            "country_code": "US",
            "telephone_number": "573-681-3249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CHE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2023035505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Jane Williams, PMHNP-BC
• Yolanda E Williams, NP
• Theodore Martin Willmore, M.D.
• Anna Michaele Wilson, MSW, LCSW
• Baylee Wilson, LCSW
• Dustin C Wilson, DDS, MS
• Jamie Lynn Wilson, LMSW
• Joyce Marie Wilson, MD
• Michael D. Wilson, D.O.
• Nathan Pleas Wilson, MHS CCC-SLP

• Social Worker in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.