1. Home
  2. Directory
  3. Oklahoma
  4. Jay
  5. Case Manager Care Coordinator
  6. NPI Profile

ANDREW C WICKLINE
NPI 1073237913
Case Manager/Care Coordinator in Jay, OK

Active since October 03, 2022
1015 W WASHBOURNE ST, JAY, OK 74346(918) 868-7489 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 17, 2022, Oct 3, 2022 (2 updates tracked since 2022).

About Andrew C Wickline NPPES

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

ANDREW C WICKLINE (NPI 1073237913) is an individual case manager/care coordinator provider in Jay, Oklahoma and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1073237913
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameANDREW C WICKLINE
Location Address1015 W WASHBOURNE STJay, OK 74346-4205
Mailing Address1015 W Washbourne StJay, OK 74346-4205
Phone(918) 868-7489
Sole ProprietorNo
Enumeration DateOctober 3, 2022
Last NPPES UpdateOctober 17, 20222 updates tracked since enumeration
NPPES CertifiedOctober 17, 2022
✔ NPI 1073237913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
1015 W WASHBOURNE ST, Jay, OK 74346
Open in Google Maps ↗

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.

TRAVIS VIRON KERSH
Peer Specialist
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (844) 458-2100
JADE ALEXANDRIA FRAZIER RN
Case Manager/Care Coordinator
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (844) 458-2100
ALISHA DAWN HUGHES
Behavior Analyst
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 308-5513
ELIZABETH BUCHANAN
Counselor (Mental Health)
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 308-5513
MRS. KRISTEN LEANN BOLDRA
Peer Specialist
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 308-5513
KARLIE ROSE BUSH LPN
Licensed Practical Nurse
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (844) 458-2100
DR. STEFAN SHANE HACKER DDS
Dentist
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 253-8696
KIMBERLY DAWN LIEB
Peer Specialist
1015 W WASHBOURNE ST
JAY, OK 74346
Delaware County (918) 273-1841

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Wickline's NPI number?

The NPI number for Andrew Wickline is 1073237913. It was assigned to this individual provider in the NPPES registry on October 3, 2022.

Where is Andrew Wickline located?

Andrew Wickline practices at 1015 W Washbourne St, Jay, OK 74346. The listed phone number is (918) 868-7489.

What is Andrew Wickline's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Andrew Wickline was last updated on October 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.