Active NPI
Duane Ralph Wilkins, LCSW
- Clinical Social Worker
- Sebring, FL
National Provider Identifier
1437533817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW14619
- Practice address
- 5901 US Hwy 27S
Sebring, FL 33870-2117 - Phone
- (863) 471-6227
- Fax
- (863) 471-6510
- NPI assigned
- Jul 15, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S1450293 | OH | |
| Clinical Social Worker | 1041C0700X | SW14619 | FL | Primary |
Addresses
Primary practice location
5901 US Hwy 27S
Sebring, FL 33870-2117
Mailing address
2782 Duffer Road
Sebring, FL 33872
Phone (716) 378-4417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S1450293 | OH | MD | Social Worker |
| SW14619 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Peace River Center for Personal Development Inc | Past | Accepting new patients |
Interoperability endpoints
- duanewilkins@tdh.allscriptsdirect.net
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lakeland, FL
- NPI 1538802939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1437533817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2782 DUFFER ROAD",
"city": "SEBRING",
"state": "FL",
"postal_code": "33872",
"telephone_number": "716-378-4417",
"fax_number": "863-413-2719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 US HWY 27S",
"city": "SEBRING",
"state": "FL",
"postal_code": "338702117",
"telephone_number": "863-471-6227",
"fax_number": "863-471-6510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "DUANE",
"middle_name": "RALPH",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-15",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S1450293",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW14619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.