Provider Demographics
NPI:1437533817
Name:WILKINS, DUANE RALPH (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DUANE
Middle Name:RALPH
Last Name:WILKINS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2782 DUFFER ROAD
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33872
Mailing Address - Country:US
Mailing Address - Phone:716-378-4417
Mailing Address - Fax:863-413-2719
Practice Address - Street 1:5901 US HWY 27S
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-2117
Practice Address - Country:US
Practice Address - Phone:863-471-6227
Practice Address - Fax:863-471-6510
Is Sole Proprietor?:No
Enumeration Date:2015-07-15
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS1450293104100000X
FLSW146191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker