Individual provider Active NPI

Alicia Wilkins, LISW

  • Clinical Social Worker
  • Medina, OH
National Provider Identifier
1407814239
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0002212 Issued in OH
Practice address
221 W Liberty St
Medina, OH 44256-2217
Phone
(330) 722-4166
Fax
(330) 725-5792
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I-0002212 OH Primary

Addresses

Primary practice location

221 W Liberty St
Medina, OH 44256-2217

Mailing address

221 W Liberty St
Medina, OH 44256-2217
Phone (330) 722-4166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150519002380 OH Practitioner - Clinical Social Worker 4486974227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wilkins Family Counseling LLCGroup PAC ID 1355875261, 3 clinicians

Practice addresses (Care Compare)

140 Wadsworth Rd
Wadsworth, OH 44281-9503
Phone (330) 730-7353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0002212OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Psychological & Counseling Services of Northeast Ohio CurrentSince Jun 1, 2015 Accepting new patients
Wilkins Family Counseling LLC Clinical CurrentSince Nov 18, 2024 Accepting new patients

Locations

4018 Medina Rd
Ste D
Medina, OH 44256
Phone (330) 506-1408

221 W Liberty St
Medina, OH 44256
Phone (330) 410-8444

195 Wadsworth Rd
Ste 201B
Wadsworth, OH 44281
Phone (330) 336-2000

140 Wadsworth Rd
Wadsworth, OH 44281
Phone (330) 331-9734

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407814239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W LIBERTY ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562217",
            "telephone_number": "330-722-4166",
            "fax_number": "330-725-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W LIBERTY ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562217",
            "telephone_number": "330-722-4166",
            "fax_number": "330-725-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "ALICIA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0002212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.