Marcia Wilk, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW9773 Issued in FL

Practice address

301 Skyline Dr
Lady Lake, FL 32159-4587

Phone

(352) 259-6011

Fax

(352) 259-6545

NPI assigned

Jun 3, 2010

Last updated

Jun 3, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Adult Counseling & Psychotherapy of Lake County, LLC

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  • Tavares, FL
  • NPI 1932473451

  Clinical

  NPD (past)
• Bradenton Counseling Center, Inc.

  • Mental Health Counselor
  • Bradenton, FL
  • NPI 1639472939

  Clinical

  NPD (past)

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275523200000",
    "number": "1538489307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SKYLINE DR",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321594587",
            "telephone_number": "352-259-6011",
            "fax_number": "352-259-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SKYLINE DR",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321594587",
            "telephone_number": "352-259-6011",
            "fax_number": "352-259-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILK",
        "first_name": "MARCIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Coast Dental Partners
• Gregory L Wheeler, PT
• James Whitt
• John Flectcher Whitt Jr., D.D.S.
• Tina Marie Whitt, DNP ARNP-BC BC-ADM
• Williams Institute of Orthopedics, PA
• Crystal Shenay Williams, APRN
• John T Williams Jr., MD
• Melinda Kae Wilmot, APRN
• Mateusz Tomasz Witelus, DDS

• Clinical Social Worker in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.