Provider Type Icon

JESSE WILLARD WOODS III NPI 1265093579


NPI Information

NPI: 1265093579
Provider Name: JESSE WILLARD WOODS III

Doing Business As: JWWIII MEDICAL BROKERAGE SERVICES

Classification: Case Manager/Care Coordinator - 171M00000X
Entity Type: Organization
Address:
1410 N 31ST ST
PHILADELPHIA, PA
ZIP 19121
Phone: (215) 258-4815
Get Directions

JESSE WILLARD WOODS III is a case manager care coordinator in Philadelphia, PA. The provider is 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. JESSE WILLARD WOODS III NPI is 1265093579. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Jwwiii Medical Brokerage Services.

The provider's business location address is:

1410 N 31ST ST
PHILADELPHIA, PA
ZIP 19121-870
Phone: (215) 258-4815

The provider's authorized official is Tiger D. Raven-melchiz El .
The authorized official title is Business Manager and has the following contact phone number (215) 435-4203.

The enumeration date for this NPI number is 6/26/2019 and was last updated on 4/3/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174H00000XHealth EducatorNo
2207K00000XAllergy & ImmunologyNo
3207PE0004XEmergency MedicineEmergency Medical ServicesNo
4251C00000XDay Training, Developmentally Disabled ServicesNo
5261QC1500XClinic/CenterCommunity HealthNo
6261QH0100XClinic/CenterHealth ServiceNo
7332B00000XDurable Medical Equipment & Medical SuppliesNo
8171M00000XCase Manager/Care CoordinatorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.