Joan Wiley

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19593 Issued in CA

Practice address

4545 N West Ave
Fresno, CA 93705-0946

Phone

(559) 229-3561

Fax

(559) 229-3681

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

Yes

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 and National Provider Directory roles.

• Comprehensive Youth Services of Fresno, Inc.

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1730213323
  NPD (past)
• Comprehensive Youth Services of Fresno, Inc. (Functional Family Therap

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1437328044
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609990647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 N WEST AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937050946",
            "telephone_number": "559-229-3561",
            "fax_number": "559-229-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 N WEST AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937050946",
            "telephone_number": "559-229-3561",
            "fax_number": "559-229-3681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3795 E Shields Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937267029",
            "country_code": "US",
            "telephone_number": "559-229-3561 x15",
            "fax_number": "559-229-3681",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3795 E Shields Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937267029",
            "country_code": "US",
            "telephone_number": "559-229-3561 x15",
            "fax_number": "559-229-3681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILEY",
        "first_name": "JOAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "19593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadie Wilcox, BSN
• Katherine Wiles, MSW, ACSW
• Alanna Wiley
• Armani Jaden Wiley
• Jayda Wiley
• Mylea N Wiley, M.D.
• Scott Wilhite, M.P.T.
• Deborah Wilk, RN
• Anne Corcoran Wilkes, CNM
• Alicia Wilkins

• Clinical Social Worker in Fresno, CA
• Providers in Fresno, 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 Mar 17, 2018; 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.