Wilks & Wellness, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WILKS & WELLNESS, LLC

Doing business as

Shannon Wilks

Practice address

112 Spencer St Ste 3B
Manchester, CT 06040-4601

Phone

(860) 812-4320

Fax

(866) 355-1052

NPI assigned

Dec 9, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Shannon Lee Wilks, LCSWNPI 1780925537

Title

Clinical Social Worker

Phone

(860) 812-4320

Specialties & licenses 1

Addresses

Other names 1

• Shannon Wilks Doing business as

Practitioners 1

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

• Shannon Lee Wilks, MSW

  • Clinical Social Worker
  • New London, CT
  • NPI 1780925537
  NPD Authorized official

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1457998452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SPENCER ST STE 3B",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404601",
            "telephone_number": "860-812-4320",
            "fax_number": "866-355-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SPENCER ST STE 3B",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404601",
            "telephone_number": "860-812-4320",
            "fax_number": "866-355-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKS & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "WILKS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "860-812-4320",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shannon Wilks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda L Whitton, LMSW
• Kenneth Lee Wichman, DPM
• Jeffrey Widem
• David Wiegard
• Marie Wilcox
• Madeleine Maeve Willett
• Williams Counseling, LLC
• Ashley Williams
• Denise Marsha Williams
• Ericka Williams

• Clinical Social Worker in Manchester, CT
• Providers in Manchester, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.