Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLOW NICHOLE WILDE
Active Sole ProprietorWILLOW NICHOLE WILDE is a Clinical Social Worker healthcare provider located in GOLD BEACH, Oregon. NPI 1205616018 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · GOLD BEACH, OR
Registration Details
- NPI Number
- 1205616018
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 2, 2023 (2.8448082445268 yrs)
- Last Updated
- Feb 29, 2024
- License
-
A14739 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
28312 MATEER RDGOLD BEACH, OR, 974449650Browse OR providers · Browse ZIP 97444
- Phone
- 5416981805
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in GOLD BEACH, OR
| Name | Credential | NPI |
|---|---|---|
| RACHEL HARDIN | — | 1720313760 |
| MS. BARBARA LYNNE MEININGER | LCSW | 1073822623 |
| MS. ERIN KATHLEEN PORTER | MSW | 1386948966 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.