Tasha R. Wilkerson, LCSW
Social Worker, Clinical in St Petersburg, FL. Individual provider (NPI-1).
NPI number1245587484
StatusActive
Last updated in NPPESAug 7, 2012
Details
- NPI
- 1245587484
- Entity type
- Individual (NPI-1)
- Name
- Tasha R. Wilkerson
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 7, 2012
- Last updated
- Aug 7, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- 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 |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | sw10952 | FL | Yes |
Practice location
4024 Central AveSt Petersburg, FL 33711-1239
Phone 727-327-7656 · Fax 727-323-4279
Mailing address
4024 Central AveSt Petersburg, FL 33711-1239
Phone 727-327-7656 · Fax 727-323-4279
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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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