Individual provider · Type 1 NPI

Christopher John Wildenhain

Clinical Social Worker · Lebanon, CT

NPI number 1447875414 Active

Practice location

37 Camp Moween Rd
Lebanon, CT 06249-2704

Call (860) 579-3899 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X4457 (CT)

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 1447875414

Christopher John Wildenhain's National Provider Identifier is 1447875414, issued on Jun 15, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lebanon, CT. The record was last updated on Oct 27, 2026.