TANICQWA WILKERSON
NPI 1639056419
Counselor - Addiction (Substance Use Disorder) in Warren, OH
About Tanicqwa Wilkerson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TANICQWA WILKERSON (NPI 1639056419) is an individual addiction (substance use disorder) provider in Warren, Ohio, licensed in Ohio (CDCA.193441) and active in the NPI registry since August 2025. She maintains a secondary practice location in Warren.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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.
WARREN, OH 44484
WARREN, OH 44484
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 Tanicqwa Wilkerson's NPI number?
The NPI number for Tanicqwa Wilkerson is 1639056419. It was assigned to this individual provider in the NPPES registry on August 21, 2025.
Where is Tanicqwa Wilkerson located?
Tanicqwa Wilkerson practices at 2737 Youngstown Rd SE, Warren, OH 44484. The listed phone number is (330) 369-8022.
What is Tanicqwa Wilkerson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
When was this NPI record last updated?
The NPPES record for Tanicqwa Wilkerson was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tanicqwa Wilkerson · NPI 1639056419
Addiction (Substance Use Disorder) provider in Warren, Ohio. Individual provider, active in the CMS NPPES registry since August 21, 2025.
## Identity
- **NPI:** 1639056419 (Entity type: Individual)
- **Enumerated:** August 21, 2025
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** CDCA.193441 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2737 YOUNGSTOWN RD SE, Warren, OH 44484-5002
- **Phone:** (330) 369-8022
## Record status
- **NPPES last updated:** August 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639056419) · Data from the CMS NPPES public registry.