Provider Demographics
NPI:1447136296
Name:WILBUR, JAMES SCOTT (APSW, SACIT)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:SCOTT
Last Name:WILBUR
Suffix:
Gender:M
Credentials:APSW, SACIT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3770 S 43RD ST APT 10
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53220-2156
Mailing Address - Country:US
Mailing Address - Phone:414-316-7918
Mailing Address - Fax:
Practice Address - Street 1:3770 S 43RD ST APT 10
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53220-2156
Practice Address - Country:US
Practice Address - Phone:414-316-7918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI135553-121104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker