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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. PHILLIP A. WILBURN, LCSW

Active Sole Proprietor

MR. PHILLIP A. WILBURN, LCSW is a Clinical Social Worker healthcare provider located in CROWN POINT, Indiana. NPI 1720005440 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · CROWN POINT, IN

Registration Details

NPI Number
1720005440
Provider Type
Individual
Gender
Male
NPI Issued
Jul 17, 2006 (19.889401832158 yrs)
Last Updated
Dec 10, 2011
Licenses
34001917A (IN)
149-001105 (IL)
Sole Proprietor
Yes

Practice Information

Address
5241 FOUNTAIN DR
SUITE G
CROWN POINT, IN, 463075323
Browse IN providers · Browse ZIP 46307
Phone
2193815648
Fax
2197362998
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in CROWN POINT, IN

Name Credential NPI
MRS. CONSTANCE WHEELER LCSW 1912996844
MR. JAMES HARLAND KIRK MSW, LCSW 1710976980
ROBERT KRUCEK II LCSW, ACSW 1861465650
YOLANDA CORIANO-TINOCO LCSW 1124093745
ANNETTE CASSIDY CSW 1235188517
JUDY A LANGDON LCSW 1487606802
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.