Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tina Wilkerson, LCSW

Individual provider Clinical Social Worker · NPI 1508290115

Tina Wilkerson, LCSW is a Clinical Social Worker in Boise, Idaho. Qualified in 1998, 28 years ago. Accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
28
Licensed in
ID
In the registry since
2013
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

310 W Union St
Boise, ID 83702-4450
Phone: (208) 830-8655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 28014 (ID)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW-28014 (ID)

Record details

NPI number1508290115
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 30, 2013
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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