Individual provider · Type 1 NPI

Maegan Lillian Wild

Clinical Social Worker · Fairfield, CT

NPI number 1003604935 Active

Practice location

1073 N Benson Rd
Fairfield, CT 06824-5171

Mailing address

149 Beacon Manor Rd
Naugatuck, CT 06770-4914

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003604935

Maegan Lillian Wild's National Provider Identifier is 1003604935, issued on Apr 29, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfield, CT. The record was last updated on Apr 29, 2025.