Teri Lee Wilske, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LSW-27997 Issued in ID

Practice address

845 Barton Rd TRLR 35
Pocatello, ID 83204-1827

Phone

(208) 240-8540

NPI assigned

Feb 19, 2020

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

Practice roles

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.

• Gateway Counseling Incorporated

  • Community/Behavioral Health Agency
  • Pocatello, ID
  • NPI 1528366424
  NPD (past)

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1932732906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 BARTON RD TRLR 35",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832041827",
            "telephone_number": "208-240-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 BARTON RD TRLR 35",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832041827",
            "telephone_number": "208-240-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSKE",
        "first_name": "TERI",
        "middle_name": "LEE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LSW-27997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Howard Willis II, O.T.
• Mark Willis, FNP
• Sara Willis
• Willow Counseling & Consulting LLC
• Silas Angier Wills Jr., MD
• Jessica Michelle Wilson-Lucero, ED.S, NCSP
• Dakota Wilson, PA-C
• David Wilson, LCPC
• Jared Kent Wilson, PA-C, MPAS, MED, ATC
• Olivia Wilson

• Social Worker in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.