Organization · Type 2 NPI
Wildwood Integrative Depth Psychotherapy LLC
Clinical Social Worker · Sheffield Village, OH
Practice location
5425 Detroit Rd Ste 6
Sheffield Village, OH 44054-3031
Mailing address
372 Angela Ln
Avon Lake, OH 44012-1132
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None 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…
About NPI 1417855834
Wildwood Integrative Depth Psychotherapy LLC's National Provider Identifier is 1417855834, issued on Oct 27, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sheffield Village, OH. The record was last updated on Oct 27, 2026.