Active NPI
Komiya Wilks, LCSW
- Clinical Social Worker
- Oxford, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C8339
- Practice address
- 152 Highway 7 S
Oxford, MS 38655-5392 - Phone
- (662) 234-7521
- Fax
- (662) 236-3071
- NPI assigned
- Jul 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 114719 | CA | |
| Clinical Social Worker | 1041C0700X | CSW006870. | GA | |
| Clinical Social Worker | 1041C0700X | C8339 | MS | Primary |
Addresses
Primary practice location
152 Highway 7 S
Oxford, MS 38655-5392
Mailing address
423 Frederick St
Sardis, MS 38666-1940
Phone (662) 654-1613
Other practice location 1
1518 Airport Rd
Hinesville, GA 31313-9439
Phone (912) 559-5536 ext. 1007
Other practice location 2
423 Frederick St
Sardis, MS 38666-1940
Phone (662) 654-1613
Other practice location 3
415 Highway 6 W
Oxford, MS 38655-9101
Phone (662) 268-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW006870. | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Central Inc. | Single Specialty | Current | Accepting new patients |
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Teletherapeutics Health Ca Corp | Single Specialty | Current | Accepting new patients |
| Malinda Graham and Associates | Single Specialty | Past | Accepting new patients |
Locations
18520 Pioneer Blvd
Ste 205
Artesia, CA 90701
710 Rimpau Ave
Ste 102
Corona, CA 92879
Phone (213) 373-5523
26498 Baseline St
Ste A
Highland, CA 92346
1954 Airport Rd
Chamblee, GA 30341
Phone (888) 491-6463
Interoperability endpoints
- komiyawilks@tdh.allscriptsdirect.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Hinesville, GA
- NPI 1689859340
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774569600000",
"number": "1083066369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 FREDERICK ST",
"city": "SARDIS",
"state": "MS",
"postal_code": "386661940",
"telephone_number": "662-654-1613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 HIGHWAY 7 S",
"city": "OXFORD",
"state": "MS",
"postal_code": "386555392",
"telephone_number": "662-234-7521",
"fax_number": "662-236-3071"
}
],
"practiceLocations": [
{
"address_1": "1518 Airport Rd",
"address_purpose": "LOCATION",
"city": "Hinesville",
"state": "GA",
"postal_code": "313139439",
"country_code": "US",
"telephone_number": "912-559-5536 x1007",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "423 Frederick St",
"address_purpose": "LOCATION",
"city": "Sardis",
"state": "MS",
"postal_code": "386661940",
"country_code": "US",
"telephone_number": "662-654-1613",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "415 Highway 6 W",
"address_purpose": "LOCATION",
"city": "Oxford",
"state": "MS",
"postal_code": "386559101",
"country_code": "US",
"telephone_number": "662-268-2400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILKS",
"first_name": "KOMIYA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-11",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "114719",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW006870.",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C8339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.