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ANDRE WILSON
NPI 1386410785
Case Manager/Care Coordinator in Dorchester, MA

Active since November 28, 2023
12 SOUTHERN AVE, DORCHESTER, MA 02124(617) 708-0870 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andre Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDRE WILSON (NPI 1386410785) is an individual case manager/care coordinator provider in Dorchester, Massachusetts and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1386410785
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameANDRE WILSON
Location Address12 SOUTHERN AVEDorchester, MA 02124-2012
Mailing Address38 Tileston StHyde Park, MA 02136-6071
Phone(617) 708-0870
Sole ProprietorYes
Enumeration DateNovember 28, 2023
NPPES CertifiedNovember 28, 2023
✔ NPI 1386410785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
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 enrollee'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.
12 SOUTHERN AVE, Dorchester, MA 02124
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRETT ERIN HANNIGAN
Case Manager/Care Coordinator
12 SOUTHERN AVE
DORCHESTER, MA 02124
Suffolk County (617) 708-0870
KAELEIGH CHERISSE DE SILVA
Counselor (Mental Health)
12 SOUTHERN AVE
DORCHESTER, MA 02124
Suffolk County (617) 708-0870
TRACY ELIZABETH HUNT
Student in an Organized Health Care Education/Training Program
12 SOUTHERN AVE
DORCHESTER, MA 02124
Suffolk County (617) 708-0870
LISA VOGEL
Student in an Organized Health Care Education/Training Program
12 SOUTHERN AVE
DORCHESTER, MA 02124
Suffolk County (617) 249-4079
MRS. KEILA MICHELE WOLFE
Counselor (Mental Health)
12 SOUTHERN AVE
DORCHESTER, MA 02124
Suffolk County (617) 708-0870
FATHERS' UPLIFT FAMILY GROUP, LLC
Social Worker (Clinical)
12 SOUTHERN AVE
DORCHESTER, MA 02124
Suffolk County (617) 708-0870
PHILLIP REASON
Student in an Organized Health Care Education/Training Program
12 SOUTHERN AVE
DORCHESTER, MA 02124
Suffolk County (617) 708-0870
MS. SHAKINA COPLIN
Social Worker (Clinical)
12 SOUTHERN AVE
DORCHESTER, MA 02124
Suffolk County (617) 708-0870

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andre Wilson's NPI number?

The NPI number for Andre Wilson is 1386410785. It was assigned to this individual provider in the NPPES registry on November 28, 2023.

Where is Andre Wilson located?

Andre Wilson practices at 12 Southern Ave, Dorchester, MA 02124. The listed phone number is (617) 708-0870.

What is Andre Wilson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Andre Wilson was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.