Terry Wilke, LCSW Apc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS16481 Issued in NU

Legal business name

TERRY WILKE, LCSW APC

Practice address

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

Phone

(619) 300-8498

NPI assigned

Oct 30, 2012

Last updated

Oct 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Teresa Ann Wilke, LCSWNPI 1548379357

Title

Owner

Phone

(619) 300-8498

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Teresa A Wilke, LCSW

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1548379357
  NPD (past) Authorized official

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1700130788",
    "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": "92108",
            "telephone_number": "619-300-8498"
        },
        {
            "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": "92108",
            "telephone_number": "619-300-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY WILKE, LCSW APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "WILKE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-300-8498",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": "LCS16481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Terrones
• Karla Alexandra Terrones
• Serena Rene Terrones
• Lisa Terronez
• Yvette Renee Terronez
• Alexis Terry
• Elizabeth Maria Terry I
• Lourdes Marie Terry, RN
• Michael James Terry, DNP, FNP, PMHNP
• Melanie Teruel, RDN, CDN

• 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 30, 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.