Provider Demographics
NPI:1073090262
Name:WILCOX, LINDA SUZY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:SUZY
Last Name:WILCOX
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 UNDERLAND CIR
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46074-1056
Mailing Address - Country:US
Mailing Address - Phone:719-428-8231
Mailing Address - Fax:
Practice Address - Street 1:202 UNDERLAND CIR
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:IN
Practice Address - Zip Code:46074-1056
Practice Address - Country:US
Practice Address - Phone:719-428-8231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-20
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099270521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical