Elizabeth Alexandra Wiley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3264-C Issued in AR

Practice address

1615 E Cypress LN
Fayetteville, AR 72703-3082

Phone

(479) 684-9436

NPI assigned

May 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Alexandra Wiley Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1386857084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 E CYPRESS LN",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033082",
            "telephone_number": "479-684-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 E CYPRESS LN",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033082",
            "telephone_number": "479-684-9436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "ELIZABETH",
        "middle_name": "ALEXANDRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "3264-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fayetteville",
            "affiliation": "N",
            "address_1": "1615 E Cypress Ln",
            "city": "Fayetteville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727033082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "WILEY",
            "middle_name": "ALEXANDRA",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hannah Wiebe
• Angela Kay Wiggins, MSN, IBCLC, RN
• Kelsey Wiggins
• Sharon Ann Wilcox, LMSW, RN
• Wild Fig, LLC
• Alexander Wilkerson
• Mindy Wilkerson, LCSW
• Julie A. Wilkie, M.D.
• Michelle Lee Wilkins, ACNS
• Morgan Wilkins, M.S., CCC-SLP

• Clinical Social Worker in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.