Nicole E Wiley, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1000113 Issued in OH

Practice address

10000 Brecksville Rd
Brecksville, OH 44141-3204

Phone

(440) 526-3030

NPI assigned

May 15, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1386811552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 WALBROOK AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441095555",
            "telephone_number": "216-647-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BRECKSVILLE RD",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413204",
            "telephone_number": "440-526-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "NICOLE",
        "middle_name": "E",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "OH",
            "license": "S0800306",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1000113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED INDEPENDENT SOCIAL WORKER",
            "identifier": "I.1000113",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED SOCIAL WORKER",
            "identifier": "S0800306",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam C Wendt, MPT
• Jodi Lee Whipkey, PT, DPT
• Dawn Marie Whitehair, APRN, MSN, PMHNP-BC
• Madison Whitley, M.A., BCBA, COBA
• Veronica Lynne Wildermuth
• Donald Charles Willett, PHARMACIST
• Susan E. Wilson, D.D.S.
• Nicole Wise, RDH
• Kalyn Wisniewski, DPT
• Kuo-Kuang Wu, D.M.D.

• Clinical Social Worker in Brecksville, OH
• Providers in Brecksville, 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 May 11, 2010; 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.