Anita M Wiles, LCSW, COTP is a 
Social Worker - Clinical based in Richmond, Virginia. Anita M Wiles is licensed to practice in Virginia (license number 0904003558) and her current practice location is 
2103 E Parham Rd, Suite 100, Richmond, Virginia. She can be reached at her office (for appointments etc.) via phone at 
(804) 261-2090.
NPI number for Anita M Wiles is 1417008764 and her current mailing address is Po Box 538622, Atlanta, Georgia. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417008764.
			
			
			
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Anita M Wiles | 
|---|
| Gender | Female | 
|---|
| Speciality | Social Worker - Clinical | 
|---|
| Location | 2103 E Parham Rd, Richmond, Virginia | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1417008764
 - Provider Enumeration Date: 01/15/2007
 - Last Update Date: 08/29/2018
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Anita M Wiles such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1417008764 | NPI | - | NPPES | 
| 010063752 | Medicaid | VA |  | 
| 004942418 | Medicaid | VA |  | 
| 010050499 | Medicaid | VA |  | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 101Y00000X | Counselor  | 0812000510 (Virginia) | Secondary | 
| 1041C0700X | Social Worker - Clinical  | 0904003558 (Virginia) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Anita M Wiles is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Anita M Wiles, LCSW, COTP Po Box 538622, Atlanta, GA 30353-8622 Ph: (910) 742-9243 | Anita M Wiles, LCSW, COTP 2103 E Parham Rd, Suite 100, Richmond, VA 23228-2235 Ph: (804) 261-2090 | 
		
		 
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