McKenzie Wilkins, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149017941 Issued in IL

Practice address

2540 Hauser Ross Dr
Suite 225
Sycamore, IL 60178-3148

Phone

(815) 758-8400

Fax

(815) 758-8441

NPI assigned

Oct 12, 2015

Last updated

Oct 12, 2015By the provider in NPPES

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Three Birds Mental Health Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sycamore, IL
  • NPI 1144141870
  NPD (past)

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1295106680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601780276",
            "telephone_number": "815-758-8400",
            "fax_number": "815-758-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 HAUSER ROSS DR",
            "address_2": "SUITE 225",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783148",
            "telephone_number": "815-758-8400",
            "fax_number": "815-758-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "MCKENZIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellspring Center for Counseling, LLC
• Alisha M Wesley, MSN, CNM, APRN
• Timothy Rion Westergren, PHARMD
• Mark Whitney, PA-C
• Nichole Elizabeth Wiepert, M.D.
• Jennifer Williams, D.D.S.
• Sarah Williams, M.A.
• Alexa Anne Williamson
• Keelin Willits, NP-C
• Heather Winnan, D.C.

• Clinical Social Worker in Sycamore, IL
• Providers in Sycamore, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.