Individual provider · Type 1 NPI

Kelly Wildes, LCSW

Clinical Social Worker · Lowell, MA

NPI number 1083340012 Active

Practice location

166 Central St
Lowell, MA 01852-1910

Call (978) 513-7300 Map

Other practice locations

  • 133 Chestnut Hill Avenue, Brighton, MA 02135 · (857) 299-0371

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Clinical Social Worker Primary 1041C0700XLCSW229108 (MA)

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 1083340012

Kelly Wildes, LCSW's National Provider Identifier is 1083340012, issued on Aug 1, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lowell, MA. The record was last updated on Apr 6, 2026.