Individual provider · Type 1 NPI

Kathleen Wild, LCSW

Clinical Social Worker · Las Vegas, NV

NPI number 1023061801 Active

Practice location

6375 W Charleston Blvd, Ste A100
Las Vegas, NV 89146-1139

Fax (702) 253-9625

Mailing address

3016 W Charleston Blvd Ste 100
Las Vegas, NV 89102-1973

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X5457 C (NV)

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 1023061801

Kathleen Wild, LCSW's National Provider Identifier is 1023061801, issued on May 19, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Las Vegas, NV. The record was last updated on May 14, 2021.