Active NPIIndividual providerSole proprietor

Keith Wick, LICSW

Social Worker, Clinical in Walpole, Massachusetts

NPI Number1386115707
Practice location
275 Common St, Walpole, MA 02081-3254
Fax
—
Last updated
December 11, 2018

Keith Wick is a Social Worker, Clinical based in Walpole, MA. Keith Wick practices in Walpole, MA and has the professional credentials of LICSW. The NPI Number for Keith Wick is 1386115707 and holds a License No. 111812 (MA). The current practice location address for Keith Wick is 275 Common St, Walpole, MA 02081-3254 and can be reached out via phone at 508-660-7257.

Provider Profile Details

NPI Number
1386115707
Provider Name
Keith Wick
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
275 Common St, Walpole, MA 02081-3254
Phone Number
508-660-7257
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 11, 2018
Last Update Date
December 11, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
275 Common St
Walpole, MA 02081-3254
Zip
02081-3254
Phone Number
508-660-7257
Walpole, MA 02081Get directions →

Provider Business Mailing Address Details

Address
46 Essex RD
Milton, MA 02186-1450
City
Milton
State
MA
Zip
02186-1450
Phone Number
617-696-2908

License Information

License Number
111812
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Keith Wick, LICSW?

The NPI number of Keith Wick, LICSW is 1386115707. It was assigned on December 11, 2018 and is currently active in the NPPES registry.

What is the specialty of Keith Wick, LICSW?

Keith Wick, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 111812.

Where does Keith Wick, LICSW practice?

The practice location is 275 Common St, Walpole, MA 02081-3254. The office can be reached at 508-660-7257 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386115707 directly on the NPPES registry website.

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