Active NPI
Tamara L Wilkinson, LCSW
- Clinical Social Worker
- Stamford, CT
National Provider Identifier
1508521493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13530
- Practice address
- 1200 High Ridge Rd
Stamford, CT 06905-1223 - Phone
- (203) 703-1390
- NPI assigned
- Nov 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C017338 | NC | |
| Clinical Social Worker | 1041C0700X | 13530 | CT | Primary |
| Social Worker | 104100000X | 115435 | NY |
Addresses
Primary practice location
1200 High Ridge Rd
Stamford, CT 06905-1223
Mailing address
1200 High Ridge Rd
Stamford, CT 06905-1223
Phone (203) 703-1390
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13530 | Other | CT | CONNECTICUT DEPARTMENT OF PUBLIC HEALTH |
| 6122 | Other | CT | CONNECTICUT DEPARTMENT OF PUBLIC HEALTH |
| 115435 | Other | NY | STATE OF NY EDUCATION DEPARTMENT |
| C017338 | Other | NC | NCSWB |
Other names 1
- Tami L Wilkinson
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115435 | NY | MD | Social Worker |
| 13530 | CT | MD | Clinical Social Worker |
| C017338 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1508521493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 HIGH RIDGE RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069051223",
"telephone_number": "203-703-1390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 HIGH RIDGE RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069051223",
"telephone_number": "203-703-1390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINSON",
"first_name": "TAMARA",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-04",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C017338",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "13530",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "115435",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICUT DEPARTMENT OF PUBLIC HEALTH",
"identifier": "13530",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICUT DEPARTMENT OF PUBLIC HEALTH",
"identifier": "6122",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NY EDUCATION DEPARTMENT",
"identifier": "115435",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCSWB",
"identifier": "C017338",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TAMI",
"last_name": "WILKINSON",
"middle_name": "L",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.