Individual provider · Type 1 NPI

Alyssa Renee Wild

Clinical Social Worker · Sacramento, CA

NPI number 1750866695 Active

Practice location

7001 East Pkwy
Sacramento, CA 95823-2501

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XRBT-18-65938 (CA)
Clinical Social Worker Primary 1041C0700XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone 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 1750866695

Alyssa Renee Wild's National Provider Identifier is 1750866695, issued on Sep 26, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sacramento, CA. The record was last updated on Feb 16, 2026.