Teresa A Wilke, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 16481 Issued in CA

Practice address

2515 Camino del Rio S
Suite 317
San Diego, CA 92108-3792

Phone

(619) 300-8498

Fax

(619) 220-7110

NPI assigned

Aug 29, 2006

Last updated

Oct 24, 2012By 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)

Not 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.

• Terry Wilke, LCSW Apc

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1700130788
  NPD (past) Authorized official

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1548379357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 CAMINO DEL RIO S",
            "address_2": "SUITE 317",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083792",
            "telephone_number": "619-300-8498",
            "fax_number": "619-220-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 CAMINO DEL RIO S",
            "address_2": "SUITE 317",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083792",
            "telephone_number": "619-300-8498",
            "fax_number": "619-220-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKE",
        "first_name": "TERESA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 16481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Wilke, CMT
• Jared Wilke, PSY.D.
• Lindsey Wakefield Wilke, D.P.M.
• Ryan M Wilke, D.O.
• Stephen D Wilke, PHD, MFT
• Jennifer Danielle Wilkens
• Patrick M Wilkens, PT, DPT
• Alyssa Wilkes
• Dace Nalani Wilkes, POSTPARTUM DOULA
• James Wilkes, PH.D.

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.