Organization · Type 2 NPI

Wild Rose Therapy, LLC

Clinical Social Worker · Pawtucket, RI

NPI number 1174486211 Active

Practice location

25 Maple St Ste 200
Pawtucket, RI 02860-2104

Call (401) 358-1050 Map

Mailing address

25 Maple St, Suite 200 #1057
Pawtucket, RI 02860-2104

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 1174486211

Wild Rose Therapy, LLC's National Provider Identifier is 1174486211, issued on Dec 5, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pawtucket, RI. The record was last updated on Dec 5, 2025.