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Contact Information

JILL ANNE R WISHART, LCSW DCSW
26 MIDWAY ST
BRISTOL REGIONAL COUNSELING CENTER
BRISTOL, TN37620
 Phone: 423-989-4500
 Fax: 423-989-4582
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for JILL ANNE R WISHART · (Female)

NPI # 1073617759
Status Active
Credentials LCSW DCSW
Entity Individual
Enumeration date 09/12/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TN License # LSW0000003204
  • VA License # 0904003737
  • Other 253893 ANTHEM PREF TRIGON
  • Other 253893 ANTHEM PROF TRIGON
  • Other 1051419 CIGNA MCC
  • Other 3048466 MAGELLAN EAP
  • Other 3048466 MAGELLAN NAVIGATOR
  • Other 3048466 MAGELLAN PINNACLE
  • Other 3048466 MAGELLAN SUMMIT
  • Other 39725 UBH EMPLOYER
  • Other 39725 UBH HEALTHPLAN
  • Other 39725 UBH JOHN DEERE
  • Other 39725 UBH SENIOR
  • Other 099634 VALUEOPTIONS
  • Other 334969 VALUEOPTIONS GROUP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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