Newell Trigg Wilcoxon IV, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2015030698 Issued in MO

Practice address

203 W 23Rd St
Independence, MO 64055-1261

Phone

(816) 807-9369

Fax

(816) 833-8330

NPI assigned

Jan 28, 2016

Last updated

Jan 28, 2016By the provider in NPPES

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": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1952768475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655590189",
            "telephone_number": "816-807-9369",
            "fax_number": "573-447-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W 23RD ST",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640551261",
            "telephone_number": "816-807-9369",
            "fax_number": "816-833-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOXON",
        "first_name": "NEWELL",
        "middle_name": "TRIGG",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2015030698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Emily Wieland
• Heather Elayne Wieners, RPH
• Brianna Wiepen, DDS
• Jill Elizabeth Wiese, RN, NNP-BC
• Davalene J. Wilbanks, LPC
• Matthew D Wiley, DDS
• Debra Ann Wilkinson, DDS
• Mikayla Hope Wilkinson
• Steven B Wilkinson, MD
• Angela Louise Willett

• Clinical Social Worker in Independence, MO
• Providers in Independence, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.