Rolf Edwin Wicks, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1502391 Issued in OH

Practice address

445 W Liberty St
Suite 225
Medina, OH 44256-2273

Phone

(330) 331-5800

NPI assigned

Aug 13, 2006

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/summit-psychological/r4/

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.

• Lamplight Counseling Services LLC

  • Clinical Social Worker
  • Medina, OH
  • NPI 1992108849
  NPD (past)
• Summit Psychological Associates, Inc.

  • Clinical Psychologist
  • Akron, OH
  • NPI 1114976701
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1144233271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 MORELEY AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443202025",
            "telephone_number": "330-338-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 W LIBERTY ST",
            "address_2": "SUITE 225",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562273",
            "telephone_number": "330-331-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKS",
        "first_name": "ROLF",
        "middle_name": "EDWIN",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1502391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey J. White, DDS, MSD
• Merae L Whitmyer, O.T.A.
• Tana Ann Whitt, APRN CNP
• Whole Body Health LLC
• Kimberly McCrone Wickert, CRC
• Ben Widenmeyer
• Kara Elizabeth Wieber
• Jennifer Lynn Wigal, LMT
• Tabitha Wilke
• Alicia Wilkins, LISW

• Clinical Social Worker in Medina, OH
• Providers in Medina, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.