Provider Demographics
NPI:1518467265
Name:WILKINS, KENYA J (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:KENYA
Middle Name:J
Last Name:WILKINS
Suffix:
Gender:
Credentials:MSW, LCSW
Other - Prefix:MISS
Other - First Name:KENYA
Other - Middle Name:J
Other - Last Name:LOGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW,LCSW
Mailing Address - Street 1:1235 EAST BLVD
Mailing Address - Street 2:STE. E PMB 1447
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-5876
Mailing Address - Country:US
Mailing Address - Phone:828-755-7618
Mailing Address - Fax:
Practice Address - Street 1:1184 LARKSPUR LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:NC
Practice Address - Zip Code:28034-9357
Practice Address - Country:US
Practice Address - Phone:828-755-7618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-20
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0115971041C0700X
IL1490246391041C0700X
ND65291041C0700X
IN34009918A1041C0700X
TN82161041C0700X
VA09040139821041C0700X
NCC0128901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical