MEDICARE: PATRICIA ANN WILCOX

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	01107	KS
2	1041C0700X	Clinical Social Worker	07055	KS

General Provider Information

NPI Number	:	1689524241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA ANN WILCOX

Provider Business Mailing Address
First Line	:	1007 1/2 N WOODROW AVE APT 1
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67203-3026
Country	:	US
Telephone Number	:	785-210-9443
Fax Number	:

Provider Business Practice Location Address
First Line	:	1007 1/2 N WOODROW AVE APT 1
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67203-3026
Country	:	US
Telephone Number	:	785-210-9443
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “ PATRICIA ANN WILCOX ” Practice Location

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