Active NPI
Marsha Wilkinson, LCSW
- Clinical Social Worker
- Powell, WY
National Provider Identifier
1730150335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW617
- Practice address
- 125 S Division St
Powell, WY 82435-2409 - Phone
- (307) 754-7970
- NPI assigned
- Jan 31, 2006
- Last updated
- Dec 11, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCSW617 | WY | |
| Clinical Social Worker | 1041C0700X | 47649983501 | UT | |
| Clinical Social Worker | 1041C0700X | LCSW617 | WY | Primary |
Addresses
Primary practice location
125 S Division St
Powell, WY 82435-2409
Mailing address
529 Road 9
Powell, WY 82435-9725
Phone (801) 205-5275
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730150335 | Medicaid | WY | |
| 1730150335 | Other | INSURANCE |
Other names 1
- Ooo Ooo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
507 N Clark St
Powell, WY 82435-1915
Phone (307) 754-7970
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW617 | WY | MD | Mental Health Counselor |
| 47649983501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Progressions, LLC | Clinical | Current | Accepting new patients |
| Chrysalis Treatment Center, Inc. | Past | Accepting new patients |
Locations
507 N Clark St
Powell, WY 82435
Phone (307) 754-7970
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Powell, WY
- NPI 1477716470
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Powell, WY
- NPI 1558837682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386720000000",
"number": "1730150335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 ROAD 9",
"city": "POWELL",
"state": "WY",
"postal_code": "824359725",
"telephone_number": "801-205-5275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 S DIVISION ST",
"city": "POWELL",
"state": "WY",
"postal_code": "824352409",
"telephone_number": "307-754-7970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINSON",
"first_name": "MARSHA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-31",
"last_updated": "2013-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WY",
"license": "LCSW617",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "47649983501",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": "LCSW617",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730150335",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE",
"identifier": "1730150335",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "OOO",
"last_name": "OOO",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Powell, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.