Courtney Wiley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34005947A Issued in IN

Practice address

940 Lasley Dr
Lebanon, IN 46052-1480

Phone

(765) 491-9239

NPI assigned

Sep 5, 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 names 1

• Courtney Cook Former name

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": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1447408141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 N NEW JERSEY ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462054228",
            "telephone_number": "765-491-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 LASLEY DR",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521480",
            "telephone_number": "765-491-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "COURTNEY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005947A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "COOK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen M Whitaker, CNS
• Abby Elizabeth White
• Endiya White, RBT
• Whitestar PC
• Nora Camille Wilcox, FNP
• Jerri Williams
• Mary M Williams, M.D.
• Michelle Williams, MS, LMHC
• Neal Williams, LCSW
• Abraham Wilson, RBT

• Clinical Social Worker in Lebanon, IN
• Providers in Lebanon, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.