Individual provider Active NPI

Tao Wang Wilkes

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1932598471
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I1451109 Issued in OH
Practice address
1335 Dublin Rd Ste 212C
Columbus, OH 43215-7045
Phone
(614) 437-9910
NPI assigned
Jan 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I1451109 OH Primary

Addresses

Primary practice location

1335 Dublin Rd Ste 212C
Columbus, OH 43215-7045

Mailing address

1335 Dublin Rd Ste 212C
Columbus, OH 43215-7045
Phone (614) 437-9910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I1451109OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Mar 18, 2025 Accepting new patients
Live Wellness Center, LTD. Clinical CurrentSince Mar 11, 2025 Accepting new patients

Locations

1335 Dublin Rd
Ste 212C
Columbus, OH 43215
Phone (614) 437-9910

800 N High St
Columbus, OH 43215
Phone (631) 540-8225

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1932598471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 DUBLIN RD STE 212C",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432157045",
            "telephone_number": "614-437-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 DUBLIN RD STE 212C",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432157045",
            "telephone_number": "614-437-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKES",
        "first_name": "TAO",
        "middle_name": "WANG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2025-03-03",
        "certification_date": "2025-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1451109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.