KATHLEEN WAKEFIELD LMSW-ACP
NPI 1063481380
Social Worker - Clinical in Tyler, TX

Q: What is Kathleen Wakefield's NPI number?

The NPI number for Kathleen Wakefield is 1063481380. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Q: What is Kathleen Wakefield's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since March 17, 2006

2323 W FRONT ST, TYLER, TX 75702(903) 597-1351(903) 535-7384 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kathleen Wakefield Lmsw-acp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN WAKEFIELD LMSW-ACP (NPI 1063481380) is an individual clinical provider in Tyler, Texas, licensed in Texas (22205) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1063481380

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKATHLEEN WAKEFIELDCredential: LMSW-ACP

Location Address2323 W FRONT STTyler, TX 75702-7704

Mailing AddressPo Box 4730Tyler, TX 75712-4730 · (903) 535-7355 · Fax (903) 535-7384

Phone(903) 597-1351

Fax(903) 535-7384

Sole ProprietorNo

Enumeration DateMarch 17, 2006

Last NPPES UpdateJanuary 4, 2024

✔ NPI 1063481380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in TX · 22205

Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 22205 (TX)

2323 W FRONT ST, Tyler, TX 75702

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Other Identifiers 1

Medicaid169604901TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CHRISTUS Health Plan.Insurance ›

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENESSA MAINES BCBA

Behavior Analyst