Wisekidz Learning Solutions, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WISEKIDZ LEARNING SOLUTIONS, LLC

Practice address

3510 W Stewarts Mill Rd
Douglasville, GA 30135-2471

Phone

(770) 947-6118

Fax

(770) 949-4069

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. K. Nicole Wise

Title

Vice President/Educational Therapis

Phone

(678) 598-5619

Specialties & licenses 1

Addresses

Other names 1

• Wisekidz ACT Services Other name

Locations

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1760670400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 W STEWARTS MILL RD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352471",
            "telephone_number": "770-947-6118",
            "fax_number": "770-949-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 W STEWARTS MILL RD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352471",
            "telephone_number": "770-947-6118",
            "fax_number": "770-949-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISEKIDZ LEARNING SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "K. NICOLE",
        "authorized_official_title_or_position": "VICE PRESIDENT/EDUCATIONAL THERAPIS",
        "authorized_official_telephone_number": "678-598-5619",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wisekidz ACT Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Morgan Jamia Wilson, BS
• Nichelle J Wilson, AUD, CCC-A
• India Windon, LPN
• Angela Wingfield
• Michelle Denise Winston, LPN
• Felica Witcher, RBT
• Bethany Wodzenski, MA CMHC
• Steve J Wodzenski, D.C.
• Evan Wohleb
• Ellen Phillips Womack, RBT

• Clinical Social Worker in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.