Active NPI
Christopher Wilkes, LCSW, CAADC
- Clinical Social Worker
- Hattiesburg, MS
National Provider Identifier
1174833693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C7018
- Practice address
- 207 3Rd Ave
Hattiesburg, MS 39401-3868 - Phone
- (601) 545-2442
- Fax
- (601) 545-2443
- NPI assigned
- Oct 18, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C7018 | MS | Primary |
Addresses
Primary practice location
207 3Rd Ave
Hattiesburg, MS 39401-3868
Mailing address
207 3Rd Ave
Hattiesburg, MS 39401-3868
Phone (601) 545-2442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7018 | MS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sycamore Tree Counseling Services | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Hattiesburg, MS
- NPI 1760716385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386028800000",
"number": "1174833693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 3RD AVE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394013868",
"telephone_number": "601-545-2442",
"fax_number": "601-545-2443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 3RD AVE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394013868",
"telephone_number": "601-545-2442",
"fax_number": "601-545-2443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKES",
"first_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"credential": "LCSW, CAADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-18",
"last_updated": "2013-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C7018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.