Sandra Wiley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW11063 Issued in AZ

Practice address

15815 S 46TH St Ste 116
Phoenix, AZ 85048-0444

Phone

(602) 206-1566

Fax

(480) 704-1661

NPI assigned

Nov 15, 2012

Sex

Female

Sole proprietor

Yes

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": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1821332826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15815 S 46TH ST STE 116",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480444",
            "telephone_number": "602-206-1566",
            "fax_number": "480-704-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15815 S 46TH ST STE 116",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480444",
            "telephone_number": "602-206-1566",
            "fax_number": "480-704-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "SANDRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW11063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Wilding, CNM, WHNP-BC
• Jared Luke Wileman, PHARM. D.
• Tiffany Lorraine Wiles, FNP
• Megan Wiley-Carrizo, PSY.D.
• Katelyn Annette Wiley, MSW
• Tom Wiley
• Angus Wilfong, MD
• Michelle Suzanne Wilhardt, PHARMD
• Ashlynn Rose Jeanette Wilhelm
• Jason L Wilhelm, PTA

• Clinical Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.