Provider Demographics
NPI:1811396732
Name:WILKINS, KATE TAYLOR
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:TAYLOR
Last Name:WILKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 CUMMINGS CTR STE 423G
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6111
Mailing Address - Country:US
Mailing Address - Phone:978-921-1190
Mailing Address - Fax:
Practice Address - Street 1:100 CUMMINGS CTR STE 423G
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6111
Practice Address - Country:US
Practice Address - Phone:978-760-2850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-15
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker