Individual provider · Type 1 NPI

Jacob Kalikimaka Wilks, LCSW

Clinical Social Worker · Phoenix, AZ

NPI number 1164689147 Active

Practice location

650 E Indian School Rd
Phoenix, AZ 85012-1839

Specialties and licenses

Taxonomy	Code	License
Adult Companion	372600000X	None listed
Clinical Social Worker Primary	1041C0700X	None listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1164689147

Jacob Kalikimaka Wilks, LCSW's National Provider Identifier is 1164689147, issued on May 19, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Phoenix, AZ. The record was last updated on May 15, 2025.