Eric James Wickliffe Jr.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

67149 Issued in CA

Practice address

4900 Serrania Ave
Woodland Hills, CA 91364-3301

Phone

(818) 347-1577

NPI assigned

Sep 20, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1710260435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 SERRANIA AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913643301",
            "telephone_number": "818-347-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 SERRANIA AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913643301",
            "telephone_number": "818-347-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKLIFFE",
        "first_name": "ERIC",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-20",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "67149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kanietrice Nicole Whitfield, PMHNP-BC
• Rylee Paige Whitmore
• Ben D Whittaker, RPT
• Brittney Lee Whitworth
• Peter Wibisono, PT
• Andrea Kay Wiese
• Cecilia Wiggins
• Kiara Wiggins
• Jahala Olema Wilcox, LVN
• Wild Current Wellness: Individual & Family Therapy, Inc.

• Clinical Social Worker in Woodland Hills, CA
• Providers in Woodland Hills, 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 Sep 24, 2015; 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.