Lisa M Wickham

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

PO Box 726
Alva, OK 73717-0726

Phone

(580) 327-1112

NPI assigned

Nov 20, 2017

Last updated

Mar 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa M Burch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1821502378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 CHURCH ST",
            "city": "ALVA",
            "state": "OK",
            "postal_code": "737172017",
            "telephone_number": "580-327-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "ALVA",
            "state": "OK",
            "postal_code": "737170726",
            "telephone_number": "580-327-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKHAM",
        "first_name": "LISA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BURCH",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alissa Ryan Trekell
• Trina Piper-Hughbanks O D Inc
• Charles R. Tucker, D.D.S.
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0178)
• Keith Michael Wear, M.S., A.T.C., L.A.T.
• Ryan Willingham
• Taylor Wilson, M.H.R., L.P.C.
• Carol Yarusinsky

• Social Worker in Alva, OK
• Providers in Alva, OK by specialty
• Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.