Wilkerson, Mindy

Wilkerson, Mindy is an sole proprietor health care provider with primary practice located at 19 E Mountain Street , Fayetteville AR 72701. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Wilkerson, Mindy can be contacted via phone (479) 222-1671.

Contact Information

Primary practice address
19 E Mountain Street Fayetteville AR 72701
Phone: (479) 222-1671
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 150102171 Illinois
Behavioral Health & Social Service Providers / Social Worker 104100000X 149020282 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 9034-C Arkansas
Behavioral Health & Social Service Providers / Social Worker 104100000X 9034-C Arkansas

Profile Details

NPI number 1396283875
LBN Legal business name Wilkerson, Mindy
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2017
Last updated Nov 12th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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