Toni Wyatt-Kirkeby, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L 1437 Issued in OR

Practice address

1620 Thompson Rd
Coos Bay, OR 97420-2150

Phone

(541) 269-2986

Fax

(541) 266-8640

NPI assigned

Jun 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Palliative Care Services, Inc.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Coos Bay, OR
  • NPI 1861491813

  Clinical

  NPD (past)
• South Coast Hospice & Palliative Care Services Inc

  dba South Coast Hospice Inc

  • Community Based Hospice Care Agency
  • Coos Bay, OR
  • NPI 1417956558
  NPD (past)

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1013110055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 THOMPSON RD",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202150",
            "telephone_number": "541-269-2986",
            "fax_number": "541-266-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 THOMPSON RD",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202150",
            "telephone_number": "541-269-2986",
            "fax_number": "541-266-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT-KIRKEBY",
        "first_name": "TONI",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L 1437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Maria Wilson, CPHT
• Jelena Wittwer, O.T.R.
• James Patrick Woods, MD
• Kelli Woods
• Merrill N Workhoven, MD
• Nicole Jazmine Wyatt
• Hee Ran Yang
• Angela Renee York, N.P.
• Jon Yost, M.D.
• Alice Rachel Young, PA

• Clinical Social Worker in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.