Patricia Jean Wilkening, M.S.W.
Individual provider Active NPI School Social Worker · Riverdale, IL
NPI 1336359447 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1336359447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Social Worker 1041S0200X
- License
- 34000311A (IN)
- Practice address
- 14419 S Atlantic Ave
Riverdale, IL 60827-2780 - Phone
- (708) 841-0432
- Fax
- (708) 841-0153
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34000311A | IN | MD | School Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 34000311A | IN | Yes |
Addresses
Primary practice location
14419 S Atlantic Ave
Riverdale, IL 60827-2780
Mailing address
2705 Birch Ave
Whiting, IN 46394-2142
Phone (219) 473-9026
Other providers in Riverdale, IL
- Ucan
- Raish Ahemad Najirbhai Vahora
- Renee Vaughn-Bell
- Erica Keanna Warren-Spears
- Janiasha Washington
- Ceneice Williams
- Juanakeisha Wilson
All providers in Riverdale, IL · School Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.