NPIMap

Organization Active NPI

Wheeler Wiggins, P.a.

  • Clinical Social Worker
  • Plantation, FL
National Provider Identifier
1669789319
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW4348 Issued in FL
Legal business name
WHEELER WIGGINS, P.A.
Practice address
4330 W Broward Blvd
Suite R
Plantation, FL 33317-3775
Phone
(305) 825-5698
Fax
(305) 895-1737
NPI assigned
Sep 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Mr. Carter Tyrone Wiggins, LCSW, SAPNPI 1952371700
Title
Partner
Phone
(305) 825-5698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 80292 FL
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW4348 FL Primary

Addresses

Primary practice location

4330 W Broward Blvd
Suite R
Plantation, FL 33317-3775

Mailing address

1175 NE 125TH St
Suite 205
North Miami, FL 33161-5015
Phone (305) 825-5698

Other identifiers 1

IdentifierTypeStateIssuer
000109300MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1669789319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 NE 125TH ST",
            "address_2": "SUITE 205",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615015",
            "telephone_number": "305-825-5698",
            "fax_number": "305-895-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 W BROWARD BLVD",
            "address_2": "SUITE R",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173775",
            "telephone_number": "305-825-5698",
            "fax_number": "305-895-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEELER WIGGINS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "CARTER",
        "authorized_official_middle_name": "TYRONE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "305-825-5698",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, SAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "80292",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000109300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.