Stephanie Wickens, AMFT
Marriage & Family Therapist in North Hollywood, CA. Individual provider (NPI-1).
NPI number1013755461
StatusActive
Last updated in NPPESJul 18, 2024
Details
- NPI
- 1013755461
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Wickens
- Credential
- AMFT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 18, 2024
- Certification date
- Jul 18, 2024
- Last updated
- Jul 18, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 145053 | CA | Yes |
Practice location
11049 Magnolia Blvd Apt 625North Hollywood, CA 91601-5665
Phone 615-406-7006
Mailing address
3405 Veteran Ave Apt 4Los Angeles, CA 90034-5341
Phone 818-821-0936
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 183 Marriage & Family Therapist providers in North Hollywood · All 3,297 providers in North Hollywood
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