Willard L Wilkinson II, MSW, LICSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC61391102 Issued in WA

Practice address

19120 SE 34TH St Ste 201
Vancouver, WA 98683-1430

Phone

(253) 352-2480

NPI assigned

Feb 10, 2023

Sex

Male

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

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": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1801593769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 NE 183RD PL",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986823620",
            "telephone_number": "480-570-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19120 SE 34TH ST STE 201",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986831430",
            "telephone_number": "253-352-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "WILLARD",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MSW,  LICSWA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61391102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.