Provider Demographics
NPI:1578118337
Name:WILKINS, ALETIA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ALETIA
Middle Name:
Last Name:WILKINS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ALETIA
Other - Middle Name:LOUISE
Other - Last Name:POINT DU JOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:195 PULASKI ST FL 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-6805
Mailing Address - Country:US
Mailing Address - Phone:785-226-0402
Mailing Address - Fax:
Practice Address - Street 1:36065 SANTE FE AVE
Practice Address - Street 2:
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544
Practice Address - Country:US
Practice Address - Phone:785-226-0402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0124021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical