Scott William Wilson
Case Manager/Care Coordinator

Address: 1891 N. Gaffey Street Suite 219 & 221, San Pedro, CA 90036
Phone: (424) 570-0241

Scott William Wilson (NPI# 1306376629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1306376629
Entity Type Individual
Full Name Scott William Wilson
Gender Male
Practice Address 1891 N. Gaffey Street Suite 219 & 221
San Pedro
CA 90036
Practice Telephone (424) 570-0241
Mailing Address 1891 N Gaffey St Ste 219&221
San Pedro
CA 90731-1267
Mailing Telephone 4245700241
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2017-06-19
Last Update Date 2017-06-19

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 171M00000X Case Manager/Care Coordinator Other Service Providers

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1306441407 Scott Arnold Wilson Pharmacist Us Highway 40 East, Richeyville, PA 15358-0496 2020-12-04
1780974600 Scott H Wilson Social Worker 86 Grant Ave, Islip, NY 11751-3503 2011-04-12
1346560521 Scott Cullen Wilson Occupational Therapist 36 Wilkinson Rd, Randolph, NJ 07869-3470 2010-06-10
1740307735 Scott Wilson Hearing Instrument Specialist 751 Stokes Rd, Medford, NJ 08055-3002 2007-03-23
1538227400 Scott David Wilson Chiropractor 817 N 1st Ave, Evansville, IN 47710-1937 2006-12-04
1538234836 Scott R Wilson Dentist 1215 Currency Ct, Rochelle, IL 61068-2321 2006-11-21
1700955853 Scott P Wilson Dentist 6015 S Fort Apache Rd, #130, Las Vegas, NV 89148-5543 2006-11-06
1417979634 Scott D Wilson Marriage & Family Therapist 2007 Cedar Ave, Manhattan Beach, CA 90266-2955 2006-07-24
1932154648 Scott Paul Wilson Dentist 520 Sheldon St, Greendale, IN 47025-1549 2006-05-23
1659361103 Scott Numo Wilson Psychiatry & Neurology 5 Longfellow Pl, Suite 213, Boston, MA 02114-2839 2005-10-26
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrolleeā€™s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881257210 Brittany Doryce Ashe Case Manager/Care Coordinator 443 W 16th St, San Pedro, CA 90731-4815 2019-04-22
1972161149 Carolina Nazario Case Manager/Care Coordinator 150 W 7th St, San Pedro, CA 90731-3320 2019-06-03
1801454087 Beysi Lidia Orellana Case Manager/Care Coordinator 150 W 7th St, San Pedro, CA 90731-3320 2019-06-03
1902460207 Cecelia Monzon Case Manager/Care Coordinator 921 S Beacon St, San Pedro, CA 90731-3740 2019-04-23
1558859660 Krystal Michelle Cvitanovich Case Manager/Care Coordinator 921 S Beacon St, San Pedro, CA 90731-3740 2018-04-24
1124539820 Roberta Lynn Venegas Case Manager/Care Coordinator 150 W 7th St, San Pedro, CA 90731-3320 2017-10-20
1811424930 Maureen Nunn Case Manager/Care Coordinator 235 W 9th St, San Pedro, CA 90731-3711 2017-05-19
1457887960 Michelle Leon Case Manager/Care Coordinator 235 W 9th St, San Pedro, CA 90731-3711 2017-05-03
1467984807 Dannia Hernandez Case Manager/Care Coordinator 1891 N Gaffey St Ste 221, San Pedro, CA 90731-1270 2017-04-03
1083162630 North End Spinal Treatment Case Manager/Care Coordinator 1611 W 25th St, San Pedro, CA 90732-4301 2016-09-13
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Office Location

Street Address 1891 N. GAFFEY STREET SUITE 219 & 221
City SAN PEDRO
State CA
Zip Code 90036

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609492107 Katherine Niemela Registered Nurse 5619 W 4th St, Suite 5, Los Angeles, CA 90036 2020-06-19
1508384330 Matthew Milstein Psychologist 5675 West Olympic Blvd., Los Angeles, CA 90036 2017-08-31
1912423963 John Allen Ostlund Counselor 5675 W. Olympic Blvd, Los Angeles, CA 90036 2017-08-21
1205382298 Janice Payson Marriage & Family Therapist 801 South Spaulding Avenue, Suite A, Los Angeles, CA 90036 2016-08-30
1134577281 Parul A Desai Registered Nurse 5800 Wilshire Blvd, Los Angeles, CA 90036 2016-05-31
1477914604 Sarah Frank Jarvis Marriage & Family Therapist 7421 Beverly Blvd Ste 2, Los Angeles, CA 90036 2016-03-16
1558747162 Paul Oberon, Psy.d, Inc. Community/Behavioral Health 7421 Beverly Blvd., #10, Los Angeles, CA 90036 2015-08-05
1235543117 Benjamin Maixner Behavior Analyst 441 1/2 N Curson Ave, Los Angeles, CA 90036 2014-06-18
1194149195 Helene Gail Mayer Occupational Therapist 100 South Citrus Avenue, Los Angeles, CA 90036 2014-02-11
1174958359 Asian American Drug Abuse Program, Inc Substance Abuse Rehabilitation Facility 5825 W. Olympic Blvd., Los Angeles, CA 90036 2013-09-06
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Competitor

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City SAN PEDRO
Zip Code 90036

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.