Tanya Wilkerson, LMSW-CC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MC22502 Issued in ME

Practice address

16 Prescott Drive
Hinckley, ME 04944

Phone

(207) 238-4000

NPI assigned

Sep 28, 2023

Last updated

Sep 28, 2023By 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

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kennebec Valley Mental Health Center

  dba Kennebec Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waterville, ME
  • NPI 1679504864
  Medicare reassignment NPD
• Good Will Home Association

  dba Good Will-Hinckley

  • Community/Behavioral Health Agency
  • Hinckley, ME
  • NPI 1013450097
  NPD (past)
• Good Will Home Association

  dba Good Will-Hinckley

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Hinckley, ME
  • NPI 1770703597
  NPD (past)

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1679352587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "HINCKLEY",
            "state": "ME",
            "postal_code": "049440159",
            "telephone_number": "207-238-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PRESCOTT DRIVE",
            "city": "HINCKLEY",
            "state": "ME",
            "postal_code": "04944",
            "telephone_number": "207-238-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "TANYA",
        "credential": "LMSW-CC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC22502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine Gee, LMSW-CC
• Good Will Home Association (Good Will-Hinckley)
• Good Will Home Association (Good Will-Hinckley)
• Brittney Ibbitson, RN
• Cara Lynn Kent, LCPC

• Clinical Social Worker in Hinckley, ME
• Providers in Hinckley, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.