De Ella D Wilcox LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DE ELLA D WILCOX LLC

Practice address

2233 Roosevelt Rd. Ste. 1
2233 Roosevelt Rd. Ste. 1
Saint Cloud, MN 56301

Phone

(320) 460-2550

Fax

(320) 217-5453

NPI assigned

Jan 24, 2023

Organization subpart

No

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

Authorized official

Name

De Ella Dawn Wilcox, LICSWNPI 1245645688

Title

Manager/Owner

Phone

(218) 639-2805

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• De Ella Dawn Wilcox, MSW, LICSW

  • Clinical Social Worker
  • Saint Cloud, MN
  • NPI 1245645688
  NPD Authorized official

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1396451241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7430",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563027430",
            "telephone_number": "320-460-2550",
            "fax_number": "320-217-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 ROOSEVELT RD. STE. 1",
            "address_2": "2233 ROOSEVELT RD. STE. 1",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "56301",
            "telephone_number": "320-460-2550",
            "fax_number": "320-217-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE ELLA D WILCOX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "DE ELLA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "218-639-2805",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farah H Dawud
• Cindy Jo Day, OTR
• Shawn K Day, DO
• DBT Specialists P.a.
• DD Opatz Counseling, LLC
• Carly Marie Deadrick
• Chamony Deang
• Amy Corinne Dearking, M.D.
• Angela Deblieck
• Roger L Deboer, RN, CRNA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.